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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 ... Pain: • Chest ... • Alveoli: - CHF
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Infarction • Stable ... Mediastinal Causes: - Vascular ... Embolism (chest ... Hypertension - Chest
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 ... #Management #Algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Cardiomyopathy Valvular ... Regurgitation • Sub-Valvular ... Artery Disease • Stable ... Thickening/Masses Chest ... Interstitium • ILD • CHF
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
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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... disease or CHF) ... disease or CHF) ... #management #cardiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Diagnosis and Management ... disease: Pleuritic chest ... level seen • Chest ... until the chest ... Lung #Abscess #pulmonary
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
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Vascular smooth ... Recurrent anginal chest ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management