15 results
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... embolism. ... The diagnosis based ... #Clinical #Radiology ... SeptalThickening #CHF
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Sign on Chest CT ... • DDx: Septic emboli ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Cerebral > Splenic, pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... w/ septic pulmonary ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... seen • Chest CT ... • Vasculitis (e.g ... #Abscess #pulmonary
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Sign on Chest CT ... bronchiectasis, CF ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... fungal stain of clinical ... change in the lungs ... arthritis, and endocarditis ... nails, bronchi, lungs
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... interstitial edema Subtle ... the differential diagnostic ... #Clinical #Radiology ... #CTChest #CHF #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... algorithm #management #cardiology ... #treatment #table ... #heartfailure #chf