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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
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... allow complete chest ... with continuous chest ... , Thrombosis, (pulmonary ... (coronary) #ACLS
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 ... #Clinical #Radiology ... #CXR #Consolidation
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
- ACLS Circular ... allow complete chest ... with continuous chest ... , Thrombosis, (pulmonary ... #circular #ACLS
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 ... radiologistpage #Chest ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... Pleural effusion, Pulmonary ... Cardiovascular: • Acute: ACS ... decompensated CHF
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
GRACE-1 Guidelines for Adult Patients with Recurrent Low-Risk Chest Pain

1) Pain > 3 hours - A
Recurrent Low-Risk Chest ... reasonably exclude ACS ... recurrent, low-risk chest ... troponin to exclude ACS ... recurrent, low-risk chest
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... dependent DM ACS ... • <12mo since ACS ... change CV risk Chest ... stratification #diagnosis
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