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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 ... - Tamponade Pulmonary ... • Alveoli: - CHF ... #Causes #Cardiology
Here are the most common examples of these four patterns on a chest x-ray (click image
interstitial opacities - Fine ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... #AFib #diagnosis ... #management #cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... Prehosp ACLS-Asystole ... Diagnosis? ... Fine Vfib can be ... #clinical
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... Prehosp ACLS-Asystole ... Diagnosis? ... Fine Vfib can be ... #clinical
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 ... Change in clinical ... • <12mo since ACS ... stratification #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... un lymphatic Diagnostic ... Chest x-ray: signs ... → no signs of CXR ... Pharmacology: • ACE
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... In daily clinical ... be present at all ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... have made the diagnosis ... All these findings ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema