11 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
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
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... morphologic findings on HRCT ... vascular diseases (e.g ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Exercise intolerance, dyspnea ... not specific • Chest ... mosaic parenchymal pattern ... recurrent VTE • RCT ... #management
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 ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
HRCT-findings. ... The dominant pattern ... broad differential diagnosis ... #Clinical #Radiology ... #CTChest #RBILD
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
Dyspnea 3. ... Pleuritic chest ... pneumonitis Diagnosis ... confirmatory findings on HRCT ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #management #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
light-headedness, dizziness, dyspnea ... exercise intolerance, chest ... Noncardiac: • Pulmonary ... Fibrillation #AFib #diagnosis ... #management #cardiology