14 results
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... - Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... #Differential #Diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Thickening/Masses Chest ... Alveoli • Pneumonia ... Interstitium • ILD • CHF ... #Differential #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Age-Adjusted Gradient • Alveolar ... Weakness, Loss of Chest ... Left Shunt - Anatomic ... #AA #Gradient #alveolar ... #differential #diagnosis
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Pneumothorax, Alveolar ... STAT CXR, CTA Chest ... #Management #treatment
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
even within each lobe ... transudate like in CHF ... Clinical #Radiology #CTChest ... #CHF #Alveolar ... #Pulmonary #Edema
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT chest ... leading to diffuse alveolar ... typically seen on chest ... #differential #diagnosis ... #management #treatment
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
reach the terminal alveoli ... taken up by the alveolar ... Progression: • Upper lobe ... Tuberculosis Diagnosis ... Tuberculosis #TB #Diagnosis
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
reach the terminal alveoli ... taken up by the alveolar ... Progression: • Upper lobe ... Tuberculosis Diagnosis ... Tuberculosis #TB #Diagnosis
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
- Differential Diagnosis ... the right middle lobe ... interstitium and alveoli ... infiltrates on chest ... #differential #diagnosis
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
starting amiodarone treatment ... Pleuritic chest ... macrophages in alveolar ... pneumonitis Diagnosis ... macrophages Treatment