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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... Pneumonia • Pleura
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... Look for other signs ... Kerley B-lines and pleural ... #Diagnosis #Radiology ... #Pulmonary #CXR
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
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
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions abutting the pleura ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... periphery of the lung ... base against the pleural ... In this case, pulmonary ... #photo #CXR #EmergencyMedicine
Sand Storm Sign on Chest CT
 • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
dense pulmonary ... Note the black pleural ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
on CXR • RA inflammation ... tends to cause ... interstitial lung ... disease/pulmonary ... pathophysiology #signs
Comet Tail Sign on Chest CT
 • Curvilinear pleural based opacity directed towards the ipsilateral hilum
Comet Tail Sign ... pleural based opacity ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
POCUS Pulmonary ... teaching case: ... #clinical #video ... #POCUS #pulmonary ... #Lung