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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 ... - Effusion - 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
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
rib fracture - Pneumothorax ... Persistent large pneumothorax ... abdominal viscus #cxr ... chestxray #trauma #diagnosis ... #signs #radiology
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
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
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
film (Table). ... In daily clinical ... be present at all ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
we describe a chest ... visible wall #CXR ... #Differential #Table ... Cavity #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
A 37 yo male with no sig PMH presents with pleuritic chest pain for 3 days.
yo male with no sig ... What's the diagnosis ... #Clinical #Radiology ... #CXR #Large #Spontaneous ... #Pneumothorax
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
• Look at the CXR ... Are all six of the ... since a prior CXR ... ChestTube #Drains #Diagnosis ... #Assessment #Pulmonary
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