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#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
with an acute pulmonary ... in V1 - V4 #Clinical ... #emergencymedicine ... pulmonaryembolism #AcutePE #criticalcare
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Decompensated CHF ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... hair) • Risk Of Clinical ... #indications #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
#EKG #EmergencyMedicine ... Cardiology #diagnosis #CriticalCare ... Electrocardiogram #ECG #Clinical
Notice the cavitation especially on the right.
In the left upper lobe there is probably some traction-bronchiectasis
#Clinical #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns #RadiologyAssistant
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... @nickmmark #Pulmonary ... stratification #criticalcare