62 results
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
hypertension; CXR ... , chest X-ray; HPAH ... , chronic lung disease ... liver function test ... #Hypertension #Workup
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... fibrosis (IPF), ... Churg Strauss syndrome ... #diagnosis #differential ... #pulmonary #causes
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... : • Cystic fibrosis ... in the adjacent lung ... high-resolution chest ... CT) • Broncho-arterial
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... ultrasound • CXR ... MatthewHoMD #Chest
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
• Parenchyma: ILD ... Hepatopulmonary syndrome ... of Dyspnea: • Chest ... Obesity - Flail chest ... #causes #pulmonary
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... can suggest the diagnosis ... The chest film shows ... Clinical #Radiology #CXR ... #CTChest #Septic
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy ... , biopsy By Tess
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Track Sign on Chest ... bronchiectasis, CF, ILD ... ABPA Kartagener's syndrome ... #Lung #Pulmonary ... #diagnosis #radiology
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
- Differential Diagnosis ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT ... #Algorithm #causes
Progressive Massive Fibrosis on Chest X-Ray
In a construction worker presenting with shortness of breath.
Progressive Massive Fibrosis
on Chest X-Ray ... a construction worker ... chronic interstitial lung ... pneumoconiosis which is caused ... #Chest #XRay #CXR