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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 ... • Alveoli: - CHF ... Pain #ChestPain #Differential ... #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... during a period of CHF ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... bronchial obstruction caused ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Septic Emboli Cause ... insult due to vascular ... Marantic (NTBE) Differential ... diagnosis #management #cardiology
Luftsichel Sign in Left Upper Lobe Collapse - Chest X-Ray

An upper lobe collapse causes the collapse
Luftsichel Sign ... lobe collapse causes ... the collapse lung ... Collapse #clinical #radiology ... #Chest #XRay #CXR
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... is interstitial lung ... seen and in many cases ... #Diagnosis #Radiology
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... periphery of the lung ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... → no signs of CXR ... diagnosis #management #cardiology
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
since in many cases ... we describe a chest ... visible wall #CXR ... #Lucency #Differential ... Pulmonary #Diagnosis #Radiology