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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 ... - Tamponade Pulmonary ... Costochondritis - Tietze syndrome ... Diagnosis #Causes #Cardiology
Posterior Mediastinal Mass - Differential Diagnosis
 • Neurofibroma
 • Neurosarcoma
 • Neuroblastoma
 • Ganglioneuroma
 • Meningocele
Mediastinal Mass - Differential ... Chondrosarcoma • Vascular ... Mediastinal #Mass #Differential ... #Diagnosis #pulmonary ... #radiology #chest
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Mediastinal Causes: - Vascular ... • Pulmonary ... ChestPain #Noncardiac #Cardiology ... #Differential #
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Asthma, COPD) • Vascular ... Hypoventilation Syndrome ... Abnormalities • Chest ... Hypoxemia #Hypoxia #Differential
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Cardiomyopathy Valvular ... Acute Coronary Syndrome ... Thickening/Masses Chest ... #Dyspnea #SOB #Differential
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... and renal manifestations ... symptomatology Differential ... high resolution chest ... #differential #
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... , Muscular Weakness ... , Loss of Chest ... Hepatopulmonary Syndrome ... Hypoxia #hypoxemia #differential
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
 • Cardio-pulmonary disease
Sensory Changes - Differential ... Weakness • Cardio-pulmonary ... Motor Neuron and ... Lambert-Eaton Myasthenic Syndrome ... Weakness #Neurology #Differential
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
) Day 2 - some pulmonary ... normal-sized heart and ... vascular structures ... help in the differential ... #Clinical #Radiology