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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 ... Pleuritis • Alveoli ... : - CHF - Pneumonia
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Cardiomyopathy Valvular ... Artery Disease • Stable ... Thickening/Masses Chest ... Alveoli • Pneumonia ... Interstitium • ILD • CHF
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Infarction • Stable ... Mediastinal Causes: - Vascular ... Embolism (chest ... Hypertension - Chest
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Age-Adjusted Gradient • Alveolar ... Weakness, Loss of Chest ... Elasticity (flail chest ... Left Shunt - Anatomic ... #AA #Gradient #alveolar
Normal Hilar Anatomy on Chest X-Ray
The hilum is 95% vessels and while it is not important
Normal Hilar Anatomy ... on Chest X-Ray ... possible to be able ... #Chest #XRay #CXR ... #clinical #radiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... The pulmonary vascular ... redistribution applies to chest ... practice many chest ... #Clinical #Radiology
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... difference in vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
increased width of the vascular ... After treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... x-ray (left) and CHF ... diameter of the pulmonary ... #Clinical #Radiology ... #Vascular #Engorgement