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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myopericarditis • Vascular ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... #Pain #ChestPain
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Mediastinal Causes: - Vascular ... Embolism (chest ... Hypertension - Chest ... Radiculopathy #ChestPain
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... exercise intolerance, chest ... Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
Lung Findings on Chest ... CT 1. ... Vascular Enlargement ... #ChestCT #radiology ... #CTChest #diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Arrhythmia • Atrial Fibrillation ... Thickening/Masses Chest ... Interstitium • ILD • CHF ... #Differential #Diagnosis
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Track Sign on Chest ... CT • Parallel, ... bronchiectasis, CF ... #Lung #Pulmonary ... #diagnosis #radiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... #AFib #diagnosis ... #management #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
of breath and chest ... Several of the diagnoses ... structural and vascular ... trauma are diagnosed ... #Radiology #CTChest
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... - Peripheral vascular ... change CV risk Chest ... stratification #diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... Arrhythmias: • Atrial fibrillation ... myocarditis • Valvular ... Pheochromocytoma • Pulmonary ... Flag Symptoms: • Chest