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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 ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... #Cardiology
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chest Wall Abnormalities ... Alveoli • Pneumonia ... Interstitium ... • ILD • CHF ... Diagnosis #Algorithm #Causes
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... On a CXR the most ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR
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
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... between these chest ... filling of the alveoli ... this is nodular interstitial ... #CXR #Lobar #Consolidation
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
leakage into the interstitium ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
pleural effusion on CXR ... 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 ... Kerley B lines, alveolar ... → no signs of CXR ... diagnosis #management #cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
fluid into the interstitium ... finally into the alveoli ... disease and causes ... can be seen on a chest-film ... #CHF #CXR #Features