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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 ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... Diagnosis #Causes #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... Chest x-ray: signs ... Kerley B lines, alveolar ... → no signs of CXR ... #pharmacology #sCHF
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
position Obstructive lung ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... In the lungs LV ... a patient with CHF ... #Diagnosis #Radiology ... #CHF #CXR #Features
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... be present at all ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... dependent part of the lungs ... presentation of alveolar ... #Clinical #Radiology ... #CTChest #CHF #
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 ... the silhouette sign ... #Clinical #Anatomy ... #Radiology #CXR
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 ... days before Pulmonary ... change CV risk Chest ... unless prior heart/lung
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... x-ray (CXR), try ... Pulmonary Contusion ... #Radiology #CTChest ... #Lung #Pulmonary