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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 ... Pain: • Chest ... • Alveoli: - CHF
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 #
PA view
On the PA chest-film it is important to examine all the areas where the lung
view On the PA chest-film ... important to examine all ... we will discuss later ... #Clinical #Anatomy ... #Radiology #CXR
The contours of the left and right diaphragm should be visible.
The right diaphragm should be visible
should be visible all ... to the anterior chest ... #Clinical #Anatomy ... #Radiology #CXR ... #Lateral #Hemidiaphragm
Right ventricle enlargement
First study the PA and lateral chest film and then continue reading.
On these chest
chest film and ... On these chest films ... All these findings ... #Clinical #Radiology ... #CXR #RVEnlargement
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
gallop rhythm), and laterally ... Chest x-ray: signs ... → no signs of CXR ... Pharmacology: • ACE ... diagnosis #management #cardiology
On a chest film only the outer contours of the heart are seen.
In many cases we
On a chest film ... blood from the pulmonary ... On the lateral view ... #Anatomy #Radiology ... #CXR #Atrium #Ventricle
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... dependent DM ACS ... • <12mo since ACS ... change CV risk Chest
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... features on the chest ... be present at all ... #Diagnosis #Radiology ... #CHF #CXR #Stages