10 results
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
, Kussmaul's sign ... clear lungs. ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
VSD on Newborn POCUS Echocardiogram (A4C)
Term newborn presents with irritability and increased work of breathing. Bedside
Echocardiogram (A4C ... copious B lines on lung ... echo showed 2 VSDs ... #ventricular #septal ... #cardiology #a4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
causes (chronic lung ... m/s • Other signs ... ventricular size, Right atrial ... of ventricular septum ... 2) DIAGNOSE -
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Digital clubbing (2- ... signs of chronic ... in the adjacent lung ... of the affected lung ... high-resolution chest CT
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Change in clinical ... days before Pulmonary ... unless prior heart/lung ... stratification #diagnosis
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
been stable over 2 ... mm depends on clinical ... Low probability: Serial ... definitive tissue diagnosis ... #Management #Radiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... clinical judgement ... /50 Rule (part 2) ... #Radiology #CTChest ... #Lung #Pulmonary