13 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
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
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
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... Bronchospasm, Pulmonary ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram ... #treatment #criticalcare
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 ... until the 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
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
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... Infections #HIVAIDS #workup ... #diagnosis #evaluation
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
(CAP) - Diagnosis ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT ... #Pulmonary #Community