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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
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 ... Checklist Outline ALL ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... Tenderness to anatomic ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... repair MH/CCF ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Named based on anatomic ... recommendations MH/CCF ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... → no signs of CXR ... Pharmacology: • ACE ... #heartfailure #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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... murmur 3/6) - Pulmonary ... disease b) CHF ... days before Pulmonary ... stratification #diagnosis