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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... dissection - SCAD • Pericardium ... - Tamponade Pulmonary ... • Alveoli: - CHF ... Diagnosis #Causes #Cardiology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy ... #differential #
Pericardial cyst
Pericardial cysts are connected to the pericardium and usually contain clear fluid.
The majority of pericardial
proximal aorta and pulmonary ... On the chest x-ray ... On CT however there ... #Clinical #Radiology ... #CXR #CTChest #
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Other tests: • CT ... o infection • Echocardiogram ... EGPA (↓ LVEF, pericardial ... CT
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
thyroid, melanoma, renal ... #Radiology #differential ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
Pericardial Hemangioma on Echocardiogram (PLAX)
DDx on this para-aortic pericardial mass? 
Radiologist on CT: “No enchancement on
on Echocardiogram ... ECHO appearance differentials ... lesions CMR = ... #Hemangioma #Echocardiogram ... pocus #clinical #cardiology
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
• Suggest two measurements ... severe RUQ pain, renal ... ), pulmonary edema ... htn #obstetrics #cardiology ... #differential #
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... , hypotension, renal ... failure, pulmonary