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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Pain: • Chest ... Costochondritis - Tietze syndrome ... • Pleura: - Effusion ... Pain #ChestPain #Differential
Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Boerhaave Syndrome ... on Endoscopy Another ... perforation (Boerhaave Syndrome ... underwent VATs and chest ... #Endoscopy #EGD
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Algorithm Ventilation/perfusion ... Hypoventilation Syndrome ... Abnormalities • Chest ... Hypoxemia #Hypoxia #Differential
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... • Pleura: - Effusion ... Hepatopulmonary syndrome ... of Dyspnea: • Chest ... Obesity - Flail chest
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... neuromuscular disease, ↓ chest ... (↑Shunting), ↓Perfusion ... Hypoxemia #Hypoxia #Differential
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
Emergencies - Differential ... Hyperviscosity Syndrome ... Hoarseness • Chest ... Malignant Pericardial Effusion ... emergencies #oncology #differential
Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
 • Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
 • Bacterial: Mycobacterium
of Pericardial Effusion ... - Differential ... Arthritis, Sjogren Syndrome ... Disease, Behcet Syndrome ... #Differential #
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal Syndrome ... symptomatology Differential ... Pulmonary Renal Syndromes ... high resolution chest ... #differential #
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Pulmonary Embolism (chest ... Hypertension - Chest ... • Pleural Effusion ... Noncardiac #Cardiology #Differential
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural Effusion ... - Differential ... Superior vena cava syndrome ... • Nephrotic syndrome ... 2LmUODZ #Pleural #Effusion