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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Myocarditis - CAD/ACS ... - Tamponade Pulmonary ... Pain: • Chest ... • Alveoli: - CHF
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Incidence: common in APL ... common • Imaging: CXR ... - pulmonary opacities ... initiation • Differential ... sepsis), PE, DAH, CHF
Normal Hilar Anatomy on Chest X-Ray
The hilum is 95% vessels and while it is not important
Normal Hilar Anatomy ... branches and the pulmonary ... drdevrad #Hilar #Anatomy ... #Chest #XRay #CXR ... #clinical #radiology
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
we describe a chest ... visible wall #CXR ... #Lucency #Differential ... Cavity #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: weight gain ... Chest x-ray: signs ... → no signs of CXR ... Pharmacology: • ACE ... diagnosis #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... pain • Wellens ... pain • Hyperacute ... of the leads l, aVL ... EKG #diagnosis #differential
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
On a chest film only the outer contours of the heart are seen.
In many cases we
On a chest film ... blood from the pulmonary ... right and left main ... #Anatomy #Radiology ... #CXR #Atrium #Ventricle