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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Myocarditis - CAD/ACS ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... Diagnosis #Causes #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... Kerley B lines, alveolar ... → no signs of CXR ... Consider cardiac ... diagnosis #management #cardiology
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
, to differentiate ... Look for other signs ... have an acute cardiac ... #Diagnosis #Radiology ... #Pulmonary #CXR
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
(alveolar edema ... The following signs ... and an enlarged cardiac ... #Clinical #Radiology ... #CXR #CHF #Alveolar
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... Pumonary cardiogenic edema ... filling of the alveoli ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
output because of cardiac ... finally into the alveoli ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... , interstitial edema ... supine film the cardiac ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... be high in the differential ... presentation of alveolar ... #Clinical #Radiology ... #CTChest #CHF #
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... of the leads l, aVL ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... Cardiac cath if ... #diagnosis #differential ... algorithm #management #cardiology ... #heartfailure #chf