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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... embolism • Cardiac ... ultrasound • CXR ... MatthewHoMD #Chest ... #Pain #Diagnosis
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
- Congestive Cardiac ... Radiology #Patterns #Lung ... #CXR #XRay #ChestCT ... #Differential # ... Diagnosis
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Threatening Causes of Chest ... Pain - Differential ... Dissection • Pulmonary ... #ChestPain #Chest ... #Pain #differential
Differential Diagnosis of Pleuritic Chest Pain:

Categorized by causes: Cardiac, Pulmonary, MSK, Drug/Toxins, Heme/Onc, Renal, Autoimmune

#Diagnosis #Pleuritic
Differential Diagnosis ... of Pleuritic Chest ... Pain: Categorized ... by causes: Cardiac ... , Pulmonary, MSK
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Diagnosis Framework ... Hypersensitivity Pneumonitis, Respiratory ... HiRes #HighRes #Chest ... #Diagnosis #pulmonary
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Infarction and Pulmonary ... myocardial ischemia, chest ... pain from acute ... chest pain may ... Dull, oppressive chest
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... Limb ischemia Pulmonary ... Pneumothorax: - Hx: Acute ... #ChestPain #Diagnosis ... Management #Algorithm #differential
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Contusion • Acute ... Aortic Rupture* Chest ... Esophageal Injury Lung ... : • Pulmonary
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... On a Chest X-Ray ... detected on a chest ... #Pulmonary #CXR
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
organizing pneumonia (COP ... ), Respiratory bronchiolitis-interstitial ... pneumonia (DIP), Acute ... Diseases #ILD #diagnosis ... #differential #