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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 ... Diagnosis #Causes #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
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... in a supine or semi-erect ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... asymmetrical, similar or bigger ... wave inversion in avL ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Checklist Outline ALL ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... accompanied by chest ... of the leads l, aVL ... #differential #cardiology ... #electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... year old with chest ... The mother of all ... EKG #clinical #cardiology ... #electrocardiogram
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
we describe a chest ... are trying to figger ... visible wall #CXR ... Cavity #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... → no signs of CXR ... Other: Electrocardiogram ... Pharmacology: • ACE ... diagnosis #management #cardiology
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... x-ray (left) and CHF ... diameter of the pulmonary ... #Clinical #Radiology ... #CXR #Lateral #