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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myocarditis - CAD/ACS ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... • Diffuse Lung ... • Chronic Lung ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... interstitial opacities - Fine ... mass - Solitary Pulmonary ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
since in many cases ... we describe a chest ... visible wall #CXR ... #Pulmonary #Diagnosis ... #Radiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ALL ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... bronchial obstruction caused ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest #
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... Treat underlying cause ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... In this case, pulmonary ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump