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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... Myocarditis - CAD/ACS ... • Alveoli: - CHF ... #Pain #ChestPain ... #Causes #Cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... to identifying ACS ... SatyaPatelMD #ChestPain ... #ACS #Evaluation ... #diagnosis #Algorithm
Here are the most common examples of these four patterns on a chest x-ray (click image
interstitial opacities - Fine ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
bronchial obstruction caused ... CT demonstrated ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
The CT-image is not very helpful in the differentiation.
There are hypodense areas, which could be masses.
On
The CT-image is ... Finally the diagnosis ... #Clinical #Radiology ... #CXR #CTChest # ... Consolidation #RadiologyAssistant
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... → no signs of CXR ... Pharmacology: • ACE ... #heartfailure #diagnosis
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... be present at all ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... Findings #Signs #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
pulmonary disease and causes ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features ... Findings #Diagram #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
a superimposed fine ... UIP as diagnosis ... #Clinical #Radiology ... #CTChest #NSIP ... NonspecificInterstitialPneumonia #ILD #RadiologyAssistant
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... Treat underlying cause ... interventional radiology ... Oncology #HemeOnc #Diagnosis