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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... - Tamponade Pulmonary ... Causes of Chest ... Pneumothorax Other Causes ... - Rupture • Gastric
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Pleural Thickening/Masses ... Kyphoscoliosis • Abdominal ... Distention Pulmonary ... Diagnosis #Algorithm #Causes
Functional Dyspepsia - Signs, Symptoms and Pathophysiology
Delayed gastric emptying - Postprandial fullness, nausea, vomiting
Hypersensitivity to gastric
Pathophysiology Delayed gastric ... Hypersensitivity to gastric ... hypersensitivity - Nausea ... hypersensitivity - Nausea ... postprandial fullness, abdominal
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... Consider cardiac causes ... genitourinary causes ... AMI • PUD • Gastric ... Pain #Chronic #Causes
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... : R/O cardiac, pulmonary ... musculoskeletal causes ... genitourinary causes ... Diffuse #Acute #Abdominal
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Cardiovascular Causes ... • Myocarditis Pulmonary ... Vascular • Pulmonary ... present) • Pulmonary ... Gastrointestinal • Gastro-Esophageal
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... associated with mild gastric ... pain • Abdominal ... radicular pain #Rare #Causes ... #Abdominal #Pain
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... Differential Diagnosis Pulmonary ... Pleural effusion, Pulmonary ... Ascites, Intra-abdominal ... Acute #Chronic #Causes
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
This change causes ... and the anterior abdominal ... #PhysicalExam #Pulmonary
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... Noncardiogenic pulmonary ... because of excessive pulmonary ... Causes include: ... Aspiration of gastric