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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myocarditis - CAD/ACS ... Vascular: - Aortic dissection ... - Tamponade Pulmonary ... • Alveoli: - CHF ... Diagnosis #Causes #Cardiology
PA view
On the PA chest-film it is important to examine all the areas where the lung
important to examine all ... resulting in a: Line ... The paraspinal line ... aorta, aneurysm, dissection ... Clinical #Anatomy #Radiology
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
consolidation is pulmonary ... flow, Kerley B-lines ... may still have a normal ... #Diagnosis #Radiology ... #Pulmonary #CXR
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate with AV nodal ... with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Treatment #management #cardiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ALL ... bones Check soft ... Check apices for ... Interpretation #Checklist #radiology ... #diagnosis #pulmonary
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal ... x-ray (left) and CHF ... diameter of the pulmonary ... also the septal lines ... #Clinical #Radiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
congestion (no B-lines ... on ultrasound), ... NSAlDs, ACE-inhibitors ... #Checklist #CHF ... #HeartFailure #Cardiology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
radiocapitellar lines ... Ligamentous injury (LCL ... > MCL), coronoid ... recommendations MH/CCF ... Fracture #Elbow #Radiology
On the left another patient with congestive heart failure.
The lateral view nicely demonstrates the increased diameter
diameter of the pulmonary ... also the septal lines ... #Clinical #Radiology ... #CXR #CHF #Peribronchial
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
MUSCULOSKELETAL ULTRASOUND ... echotexture of normal ... Tendon: Normal ... packed hyperechoic lines ... Atlas #Clinical #Radiology