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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 ... Pleuritis • Alveoli ... : - CHF - Pneumonia
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Artery Disease • Stable ... Thickening/Masses Chest ... Alveoli • Pneumonia ... Interstitium • ILD • CHF
Posterior Mediastinal Mass - Differential Diagnosis
 • Neurofibroma
 • Neurosarcoma
 • Neuroblastoma
 • Ganglioneuroma
 • Meningocele
Mediastinal Mass - Differential ... Chondrosarcoma • Vascular ... • Small cell lung ... #Diagnosis #pulmonary ... #radiology #chest
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
Progressing to diffuse alveolar ... involvement, with “white lung ... normal-sized heart and vascular ... structures help in the differential ... #Clinical #Radiology
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Infarction • Stable ... Mediastinal Causes: - Vascular ... ChestPain #Noncardiac #Cardiology ... #Differential #
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... Cardiogenic pulmonary ... #Clinical #Radiology ... Carcinomatosis #Mimic #Differential ... #Comparison #Table
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Elasticity (flail chest ... , Interstitial Lung ... #AA #Gradient #alveolar ... Hypoxia #hypoxemia #differential
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
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... UIP, NSIP and long ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Consolidation #Differential