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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... Costochondritis - Tietze syndrome ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Causes #Cardiology
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
Hepatojugular) Reflux ... Still useful for diagnosis ... of CHF with reasonable ... PhysicalExam #Clinical #Video ... #VolumeStatus #Cardiology
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
summarizes the causes ... branching vessels #Diagnosis ... #Radiology #CXR ... Unilateral #Bilateral #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
 • Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
 • Bacterial: Mycobacterium
Causes of Pericardial ... Effusion - Differential ... Diagnosis Infectious ... #Pericardial #Effusion ... #Causes #cardiology
Here are the most common examples of these four patterns on a chest x-ray (click image
Nodule - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
- Differential Diagnosis ... Nodule / mass • Masses ... Pneumomediastinum, Pericardial effusion ... • CXR rotation ... #pulmonary #radiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... • Pleural Effusion ... Gastro-Esophageal Reflux ... ChestPain #Noncardiac #Cardiology ... #Differential #Diagnosis