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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... • Pleura: - Effusion ... - Pneumothorax ... #Pain #ChestPain ... #Causes #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Pleura • Pneumothorax ... • Pleural Effusion ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Checklist Outline ALL ... Check apices for pneumothorax ... cervical rib Check lung ... #diagnosis #pulmonary
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
Pleura Sign on Chest ... CT • Contrast ... #Pleura #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
Are all six of the ... injury to the lung ... large injury to lung ... drainage of an effusion ... ChestTube #Drains #Diagnosis
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... in both lungs, ... patient received a diagnosis ... #CT #disseminated
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Cataract Plan ... one post op Cardiology ... change CV risk Chest ... unless prior heart/lung ... stratification #diagnosis
Lymphangioleiomyomatosis- Computed tomography of the chest, reconstructed in the coronal plane at the level of the
tomography of the chest ... revealed a large pneumothorax ... intraparenchymal pulmonary ... affect women of all ... #CT #wedge #biopsy
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... renal failure, pulmonary ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis