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Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... #Management #Algorithm
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Track Sign on Chest ... necrotizing pna, ABPA ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Alveolar Proteinosis, Lymphoma ... Cystic Fibrosis, ABPA ... HiRes #HighRes #Chest ... #radiology
Polo Mint Sign on Chest CT
 • Partial filling defect in a blood vessel surrounded by
Polo Mint Sign on Chest ... CTPartial filling ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... • Malignancy: Lymphoma ... Miliary #Pattern #Chest ... #CXR #clinical ... #CT
CT Angiogram Sign on Chest CT
 • Prominent pulm vessels traversing through an area of parenchymal
on Chest CT • ... adeno Ca, pulm lymphoma ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... AFib #diagnosis #management ... #cardiology
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
nodules Previous chest ... mm depends on clinical ... #Management #Radiology ... #CTChest #Fleischner ... Society #Followup #Pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... change CV risk Chest ... medical and surgical management