7 results
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
i.e. cancer) • Dyspnea ... lung disease or CHF ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Diagnosis Algorithm ... Pericardial ... Thickening/Masses Chest ... Interstitium • ILD • CHF
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Typical symptoms: dyspnea ... *Chronic HFrEF may ... Chest x-ray: signs ... → no signs of CXR ... #pharmacology #sCHF
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... x-ray (left) and CHF ... stage II with perihilar ... #CXR #Lateral # ... CHF #Vascular #Engorgement
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
be graded into stages ... on the chest film ... patients with chronic ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
70% of cases of CHF ... seen on a supine chest ... On the left images ... #Clinical #Radiology ... #CXR #CHF #Pleural
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Patient states he ... CXR), try rotating ... His dyspnea continued ... not seen on a CXR ... #Radiology #CTChest