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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... infarction • Aortic ... dissection • ... Pneumothorax • Pulmonary ... ultrasound • CXR
There are about a dozen x-ray findings, but two of them are especially important: Loss of
important: Loss of the aortic ... knob/aortic-pulmonary ... #Clinical #Diagnosis ... #Radiology #CXR ... ChestXRay #AorticKnob #Dissection
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Annotated on Chest ... radiopaedia.org/cases ... lobes #Segments #Chest ... #CT #CTChest #pulmonary ... #clinical #radiology
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
• Vascular: Aortic ... dissection, Aortic ... Nodule / mass • Masses ... Pericardial effusion • CXR ... #radiology
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Vascular: - Aortic ... dissection - ... - Tamponade Pulmonary ... Causes of Chest ... #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Obstruction • Aortic ... Non-lschemic • Aortic ... Dissection ... • Myocarditis Pulmonary ... ChestPain #Noncardiac #Cardiology
There are about a dozen x-ray findings, but two of them are especially important: Loss of
knob/aortic-pulmonary ... dissection. ... #Clinical #Diagnosis ... #Radiology #CXR ... #Dissection #CalciumSign
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... In daily clinical ... #Clinical #Radiology ... #CXR #CHF #Cephalization
This is a parasternal long axis view of a young patient presenting with 3 days of
a parasternal long ... In this case, the ... dissection.- Michael ... Northwestern University #Clinical ... #EM #Radiology
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Overriding aorta ... boot shaped heart caused ... along with concave Pulmonary ... #XRay #CXR #clinical ... #radiology #peds