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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... The pulmonary vascular ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,
on Chest X-Ray ... contact with the pulmonary ... hilum: In this case ... #Chest #XRay #clinical ... #radiology #CXR
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
pain, pleural effusion ... on CXR • RA inflammation ... tends to cause ... interstitial lung disease/pulmonary ... pathophysiology #signs
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... diagnosis #management #cardiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... In this case, pulmonary ... confirmed with chest ... #photo #CXR #EmergencyMedicine ... #Cardiology #HamptonHump
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... related to the pulmonary ... features on the chest ... #Diagnosis #Radiology ... #CHF #CXR #Stages
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... with presence of pulmonary ... the determined cause ... algorithm #management #cardiology ... #heartfailure #chf