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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 ... • Alveoli: - CHF ... - Effusion - Pneumothorax ... #Pain #ChestPain
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ALL ... Check apices for pneumothorax ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
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
Lymphangioleiomyomatosis- Computed tomography of the chest, reconstructed in the coronal plane at the level of the
tomography of the chest ... revealed a large pneumothorax ... intraparenchymal pulmonary ... Lymphangioleiomyomatosis #LAM ... #radiology #CT
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... rise from last lab ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis