10 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... proteinuria, dysmorphic RBCs ... • CXR (diffuse ... high resolution chest ... CT • Bronchoscopy
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... hump along may aid ... confirmed with chest ... CT angiography. ... #photo #CXR #EmergencyMedicine
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 ... high-resolution chest ... #differential #
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... chest to evaluate ... typically seen on chest ... CT ... #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
disease: Pleuritic chest ... lat decubitus - air ... level seen • Chest ... CT Lung Abscess ... treatment until the chest
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Edema (NCPE) - Differential ... Traumatic brain injury ... nervous system injury ... infiltrates on chest ... scattered crackles, chest
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Pneumonia Signs ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT ... #treatment #Pulmonary
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... Pneumonia: • Chest ... #pulmonary #differential
Continuous Positive Airway Pressure in the Neonate

WHY CPAP? 
• Maintain airway patency 
• Helps avoid alveoli
surfactant • Aids ... Helps to Stabilise chest ... and hat to avoid air ... auscultate for signs ... #ABCs #ABCDE #Peds
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
of breath and chest ... Vital signs: BP ... SpO2 88% on room air ... x-ray (CXR), try ... not seen on a CXR