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Chest Pain Differential Diagnosis by Organ System

- By Dr. Eric Strong @DrEricStrong 

#ChestPain #Differential #Diagnosis #Table
Chest Pain Differential ... Diagnosis by Organ ... DrEricStrong #ChestPain ... Diagnosis #Table ... #OrganSystem #Causes
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Life Threatening Causes ... of Chest Pain - ... Differential Diagnosis ... #Chest #Pain #differential ... #diagnosis #table
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Diagnosis Framework ... • Parenchyma: ILD ... Deconditioning - Pain ... diagnosis #causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Infarction • Stable ... pain often not ... Radiculopathy #ChestPain
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Dyspnea - Differential ... Diagnosis Algorithm ... Artery Disease • Stable ... Chest Wall Abnormalities ... Interstitium • ILD
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Infections in HIV - Differential ... Diagnosis Framework ... factor • May cause ... AIDS #pulmonary #differential ... #diagnosis #infectiousdiseases
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Pneumonitis 3. ... pain, hemoptysis ... , dyspnea, productive ... Blood cultures • CXR
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... e.g. incidental CXR ... Pulmonary: dyspnea ... , cough, chest pain ... , arrhythmias, dyspnoea
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Dyspnea 3. ... Pleuritic chest ... pain 5. ... Exclusion of other ILDs ... reticular opacities on chest
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Hypoxia • Dyspnea ... pain/tightness ... Most Common Causes ... Bronchiectasis #pulmonary #differential ... #diagnosis