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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... • Alveoli: - CHF ... Pneumonia • Pleura ... : - Effusion ... #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Differential Diagnosis Algorithm ... - Chest Wall/Pleura ... Pneumothorax • Pleural ... Effusion ... ChestPain #Noncardiac #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... bilateral in 70% of cases ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
pulmonary disease or CHF ... Treat underlying cause ... Treat underlying cause ... Treatment #management #cardiology ... #algorithm
Large pleural effusion on Echocardiogram
Does this patient need pericardiocentesis?
In this case, large billateral pleural effusion can
Large pleural effusion ... In this case, large ... billateral pleural ... #clinical #cardiology ... #pocus
Large pleural effusion on Echocardiogram
Does this patient need pericardiocentesis?
In this case, large billateral pleural effusion can
Large pleural effusion ... In this case, large ... billateral pleural ... #clinical #cardiology ... #pocus
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
K 5.9 without EKG ... along with rt/lt pleural ... frequently benign causes ... consider serious causes ... A4C #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
K 5.9 without EKG ... along with rt/lt pleural ... frequently benign causes ... consider serious causes ... PLAX #clinical #cardiology
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
checkpoint inhibitors (e.g ... There are case reports ... of pleural effusion ... Clinical #Diagnosis #Radiology