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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... • Alveoli: - CHF ... Pneumonia • Pleura ... : - Effusion ... • Gallbladder: Cholecystitis
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... - Loculated effusion ... #TB #Patterns #chest ... #xray #clinical ... #radiology #CXR
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... aka Pawnbroker's Sign ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
Split Pleura Sign ... on Chest CT • ... #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
Pericarditis) -> Chest ... pain, pleural effusion ... on CXR • RA inflammation ... interstitial lung disease/pulmonary ... pathophysiology #signs
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... edema, bilateral pleural ... effusions). 1/5 ... → no signs of CXR
Subpulmonic Effusion Explained - Rock of Gibraltar sign

Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8

#Subpulmonic #Effusion #pathophysiology #clinical #pulmonary
Subpulmonic Effusion ... Rock of Gibraltar sign ... pathophysiology #clinical ... #pulmonary #radiology ... #CXR
Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,
Hilum Overlay Sign ... on Chest X-Ray ... contact with the pulmonary ... #Chest #XRay #clinical ... #radiology #CXR