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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... Pain #ChestPain #Differential
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... The term redistribution ... In these cases comparison ... during a period of CHF ... Radiology #CXR #CHF
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Thickening/Masses Chest ... Interstitium • ILD • CHF ... Vessels • Pulmonary ... #Dyspnea #SOB #Differential
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #Differential # ... Diagram #Comparison
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... Sometimes the term ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Perilymphatic #Nodular #Differential
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... underlying cause (CHF ... Potomania - Tea ... Stress, Nausea, Pulmonary ... #Hyponatremia #Differential
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... pain, near-syncope ... Decompensated HF ... Noncardiac: • Pulmonary
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... without associated pulmonary ... The term is mostly ... Diagnosis #Radiology #CTChest ... Cyst #Emphysema #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential ... #Comparison #Table
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea - Differential ... Diagnosis Pulmonary ... /Chest Wall: • ... Pleural effusion, Pulmonary ... decompensated CHF