9 results
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
physical exam (e.g ... . cardiac, pulmonary ... exams), and the chest ... one of 8 basic patterns ... Acute #Workup #Algorithm
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... vascular diseases (e.g ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... pain/dyspnea. ... Differential/diagnosis ... (II, III, AVF)(pattern ... #clinical #cardiology
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... The dominant pattern ... broad differential diagnosis ... #Clinical #Radiology ... #CTChest #RBILD
Alveolar proteinosis is a rare disease characterized by filling of the alveolar spaces with PAS positive
The diagnosis is ... the suggestive HRCT ... pattern (crazy ... dyspnea. - Prognosis ... #Clinical #Radiology
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
Dyspnea 3. ... Pleuritic chest ... pneumonitis Diagnosis ... Exclusion of other ILDs ... confirmatory findings on HRCT
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... trauma are diagnosed ... radiograph pattern ... His dyspnea continued ... #Radiology #CTChest