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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Vascular: - Aortic dissection ... - SCAD • Pericardium ... : - Pericarditis ... • Pleura: - Effusion ... #Chest #Pain #ChestPain
Pericarditis - Definition and Diagnostic Criteria
Acute Pericarditis 
 • Inflammatory pericardial syndrome to be diagnosed with
• Inflammatory pericardial ... depression on ECG ... (4) pericardial ... effusion (new or ... #criteria #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
)- Differential ... • Malignancy (e.g ... infarction • Aortic dissection ... #Differential # ... Diagnosis #cardiology
Chest pain after AFib ablation. What’s the most likely diagnosis?

...

You are all correct: the patient had
w/ a moderate pericardial ... effusion (likely ... Dx pericarditis ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #Pericarditis
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Causes of Acute Pericarditis ... Cardiac injury (e.g ... perforation (e.g ... Radiation Aortic dissection ... #Differential #
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
• Aortic Dissection ... Aneurysm • Pericarditis ... • Pleural Effusion ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg ... cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial ... Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... A4C #Clinical #Cardiology