78 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... ultrasound • CXR ... • CBC, BMP, LET ... MatthewHoMD #Chest
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... Bronchospasm, Pulmonary ... STAT Labs (BMP, CBC ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
with suspected pulmonary ... hypertension; CXR ... , chest X-ray; HPAH ... , hereditary pulmonary ... #Hypertension #Workup
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... Evaluation: Imaging (CXR ... /- High res CT chest ... scan), CBC/diff ... Infections #HIVAIDS #workup
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
- No other workup ... cancer screening, CBC ... , aPTT, +/- CXR ... Hypercoagulable #Workup ... #hematology #diagnosis
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... Garland #Triad #Chest ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Bronchopneumonia Consolidation Pattern on Chest X-Ray

Patchy areas of consolidation that may be initially limited to one
Consolidation Pattern on Chest ... to one or more pulmonary ... Consolidation #Pattern #Chest ... #XRay #CXR #clinical
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Investigations • Labs: CBC ... , cr, ESR, CRP ... , anti-CCP • CXR ... high resolution chest
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... fractures missed by CXR ... identify also pulmonary ... #PhysicalExam #clinical ... video #trauma #pulmonary
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... AirBronchogram #POCUS #CXR ... #Comparison #Clinical ... #Lung #Pulmonary ... #Clinical