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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 ... • Alveoli: - CHF ... #Cardiology
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning Travelers ... without localizing signs ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... Fever #Returning #Traveler
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... ) - Returning travelers ... Others: - Pulmonary ... abnormalities (Pulmonary ... infarction/PE, CHF
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Hypertension on Chest ... Carina crossover sign ... @PulmPEEPs #Pulmonary ... #cardiology #diagnosis
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... non-perfused vessels and causes ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Pleural Thickening/Masses ... Chest Wall Abnormalities ... Interstitium • ILD • CHF ... Diagnosis #Algorithm #Causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... • Myocarditis Pulmonary ... Embolism (chest ... Hypertension - Chest ... ChestPain #Noncardiac #Cardiology
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... aka Pawnbroker's Sign ... #Pawnbrokers #Sign ... #clinical #radiology ... #pulmonary #sarcoidosis
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness of Leptospirosis ... rash • Others: nausea ... dysfunction) • Pulmonary ... Questions @WuidQ #Leptospirosis ... Diagnosis #Illness #Signs
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign