22 results
Causes of Hemoptysis - Differential Diagnosis Algorithm
Massive Hemoptysis (>I00 mL in 24 hours)
 • Malignancy
 •
Differential Diagnosis Algorithm ... Bronchiectasis • Abscess ... Malformation Normal ... CXR/CT • Hematemesis ... Abnormalities • CHF
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Differential Diagnosis Algorithm ... lung disease or CHF ... in cough) • Abnormal ... CXR: refer + order ... Differential #Diagnosis #Algorithm
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
breath sounds • Rales ... Blood cultures • CXR ... early disease) • CXR ... upright or lat ... - Switch to oral
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis Algorithm ... Beware of major normal ... value - variation ... incremental increase to assess ... Insufficiency #Diagnosis #Algorithm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
NORMAL PLASMA OSMOLALITY ... Assess volume status ... HYPERVOLEMIC • CHF ... Diagnosis #Workup #Algorithm
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
Diagnosis a nd Workup Algorithm ... affecting ~50% of males ... Labs: TSH, Cr, LFTs ... Diagnosis #Workup #Algorithm
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal ... In these cases comparison ... during a period of CHF ... Clinical #Radiology #CXR ... #CHF #Cephalization
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
5 or elevated Cr ... Diagnosis: • Labs ... common • Imaging: CXR ... sepsis), PE, DAH, CHF ... 500 mg QD until normal
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... that helpful, but comparison ... films can be of value ... Clinical #Radiology #CXR ... #Comparison #RadiologyAssistant
Coccidiomycosis - Diagnosis
Diagnosis:
 • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%)
 •
Procalcitonin normal ... (95%) • CXR: Unilateral ... Immunodiffusion for Cocci Ab ... Urine & Blood & CSF ... Glucan in blood/CSF