10 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
- Differential ... Small secundum ASD ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,
contact with the pulmonary ... hilum: In this case ... This was later proven ... #Chest #XRay #clinical ... #radiology #CXR
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... necrosis (7-14 days later ... Lung Abscess - Clinical ... seen • Chest CT ... Lung #Abscess #pulmonary
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... based on TTE, TEE, CT ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Embolism #diagnosis #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... , and later (after ... Echocardiogram #clinical
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... signs of congestive ... Bilateral pleural ... be high in the differential ... #Clinical #Radiology
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... She is sent to CT ... in over 80% of cases ... pattern on your differential ... Trauma #Injury #clinical
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
(Can occur later ... Cesarean delivery Clinical ... Key Point: High clinical ... , selenium) Differential ... congestion on a CXR
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest