12 results
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Approach to Acute Dyspnea ... exams), and the chest ... one of 8 basic patterns ... Strong Medicine #Dyspnea ... Acute #Workup #Algorithm
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... Radiology #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
Patterns of disease in advanced COPD

Type A: 
Pink Puffer (Emphysema Predominant) 
Major complaint is dyspnea, often
Patterns of disease ... Major complaint is dyspnea ... Dyspnea usually ... mild, though patients ... #COPD #Patterns
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... bronchiolitis: ill ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... Differential #Comparison #Table
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
ventilation • Phase Ill ... Specific capnograph patterns ... II/III: right mainstem ... #Capnography #interpretation ... #waveforms #patterns
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... realise, that these patterns ... Radiology #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
Basic Interpretation ... the dominant HR-pattern ... Pulmonary #HRCT #CTChest ... #Interpretation ... #Algorithm #ILD
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic Dyspnea ... Differential Diagnosis Algorithm ... Artery Disease • Stable ... Thickening/Masses Chest ... Interstitium • ILD
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... to the ER with chest ... pain Computer interpretation ... Recognize this #ECG pattern ... It’s a classic pattern
Alveolar proteinosis is a rare disease characterized by filling of the alveolar spaces with PAS positive
suggestive HRCT pattern ... 30 and 50 years old ... cough, fever, and mild ... dyspnea. - Prognosis ... Clinical #Radiology #CTChest