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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
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
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
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
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
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