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
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
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
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