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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Myopericarditis • Vascular ... - Tamponade Pulmonary ... • Alveoli: - CHF ... - Pneumonia
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Mediastinal Causes: - Vascular ... Parenchymal • Pneumonia ... ChestPain #Noncardiac #Cardiology ... #Differential #
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Thickening/Masses Chest ... Alveoli • Pneumonia ... Interstitium • ILD • CHF ... #Dyspnea #SOB #Differential
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... Silhouette - Narrow Vascular ... - Increased pulmonary ... GreatArteries #TGA #CXR ... #Diagnosis #Clinical
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
inhalational injury Differential ... rarely typical pneumonia ... #Radiology #differential ... #diagnosis #pulmonary ... #CXR #clinical
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
) Day 2 - some pulmonary ... normal-sized heart and vascular ... structures help in the differential ... #Clinical #Radiology ... #CXR #ChestXRay
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
Air-Fluid Level on Chest ... and pleuritic chest ... Labeled CXR: ... #ChestXRay #Clinical ... #Pulmonary #Radiology
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea - Differential ... Diagnosis Pulmonary ... /Chest Wall: • ... Pleural effusion, Pneumonia ... decompensated CHF
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... between these chest ... Lobar pneumonia ... Pulmonary hemorrhage ... #Radiology #CXR