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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myopericarditis • Vascular ... - Tamponade Pulmonary ... • Alveoli: - CHF ... #Pain #ChestPain ... #Causes #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Mediastinal Causes: - Vascular ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology ... #Algorithm #causes
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... → no signs of CXR ... Jcortesizaguirr #HFrEF #heartfailure ... #cardiology #pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... #algorithm #management ... #cardiology #treatment ... table #foamed #heartfailure ... #chf #criticalcare
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
edema. ... pressure resulting in edema ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
The following signs ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... related to the pulmonary ... features on the chest ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... - Peripheral vascular ... one post op Cardiology ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... structural and vascular ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest