15 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... on Physical Exam ... shows a flail chest ... fractures missed by CXR ... rob_cosentini #Flail #Chest
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... on Physical Exam ... shows a flail chest ... fractures missed by CXR ... rob_cosentini #Flail #Chest
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... production, pleuritic chest
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Algorithm Red ... lymadenopathy, clubbing, chest ... exam, etc) • ... Abnormal CXR: refer ... + order CT, bronchoscopy
Chest Pain - Diagnosis and Workup Algorithm

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

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Embolism (chest ... Hypertension - Chest ... Parenchymal • Pneumonia
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
hemorrhage • Pus: pneumonia ... 12 / shallow breathing ... MG, ALS) • ↓ chest ... compliance (e.g., flail chest ... #differential #Diagnosis
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... rarely typical pneumonia ... Miliary #Pattern #Chest ... #pulmonary #CXR ... #clinical #CT
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
disease: Pleuritic chest ... Abscess - Physical Exam ... level seen • Chest ... CT Lung Abscess ... treatment until the chest