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Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Life Threatening Causes ... Diagnosis Table • ACS ... • Aortic Dissection ... • Pulmonary Embolism
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Myocarditis - CAD/ACS ... Vascular: - Aortic dissection ... - Tamponade Pulmonary ... Causes of Chest
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... infarction • Aortic dissection ... Pneumothorax • Pulmonary ... EKG • Bedside ultrasound
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Pleural Thickening/Masses ... • Abdominal Distention ... Pulmonary Alveoli ... Diagnosis #Algorithm #Causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Cardiovascular Causes ... • Aortic Dissection ... • Myocarditis Pulmonary ... Vascular • Pulmonary ... present) • Pulmonary
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... Tamponade, pulmonary ... HTN, aortic dissection ... #Nonlschemic #Causes
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... afib, twi I & aVL ... for this Type A Dissection ... TypeA #Aortic #Dissection ... Echocardiogram #Clinical #Ultrasound
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
lung diseases, pulmonary ... Mismatching in either direction ... asthma, COPD, pulmonary ... shunting (eg, pulmonary ... Differential #Diagnosis #pulmonary
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Cardiovascular Causes ... failure - CAD/ACS ... - Tamponade Pulmonary ... Vasculature: - PE - Pulmonary ... #pulmonary
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Vascular: Aortic dissection ... anourysm, Enlarged pulmonary ... duplicated SVC) • Pulmonary ... Nodule / mass • Masses ... Differential #Diagnosis #pulmonary