9 results
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
rib fracture - Pneumothorax ... , pulmonary contusion ... Persistent large pneumothorax ... abdominal viscus #cxr ... trauma #diagnosis #signs
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
• Look at the CXR ... since a prior CXR ... ) indicates an injury ... either a large injury ... Diagnosis #Assessment #Pulmonary
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
Notice the air-fluid ... attached to the chest ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... lesions than the chest ... film and can suggest ... abutting the pleura, air-bronchograms ... #CXR #CTChest #
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Loss of weight • Chest ... Nasal polyps and signs ... thickening, presence of air-fluid ... CT) • Broncho-arterial
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
pathophysiology CLINICAL ... Assessing ROSC during CPR ... also be seen with pneumothorax ... with air leak ... oscillations - Sign
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
Notice the air-fluid ... attached to the chest ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT ... Management #treatment #Pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... This patient’s clinical ... x-ray (CXR), try ... not seen on a CXR