11 results
Pulsatile AAA on Abdominal Exam

A 66-year-old man presented with a 2-month history of abdominal bloating and
Exam A 66-year-old ... abdominal mass, which CT ... #Abdominal #PhysicalExam ... Aorta #Clinical #Video ... #NJEM #vascular
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Physical Exam 74 year-old ... The video shows ... fractures missed by CXR ... , so use CT to identify ... Chest #Breathing #PhysicalExam
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Physical Exam 74 year-old ... The video shows ... fractures missed by CXR ... , so use CT to identify ... Chest #Breathing #PhysicalExam
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... , anti-GBM ab, ANA ... , anti-CCP • CXR ... resolution chest CT ... #differential #diagnosis
Positive Seidel test on fluorescein stain exam

Globe rupture can be identified by a positive Seidel test
CT can also help ... in making the diagnosis ... #fluorescein #Ophthalmology ... #PhysicalExam # ... Video
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
ANCA vasculitis (AAV ... Other tests: • CT ... FINDINGS: • AAV ... seen on chest CT ... #management #treatment
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
ophthalmic veins CT ... Patient underwent a diagnostic ... Treatments are aimed ... Bilateral #clinical #video ... #ophthalmology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Blood cultures • CXR ... early disease) • CXR ... seen • Chest CT ... hemorrhage • Treatment ... Lung #Abscess #pulmonary
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
parenchyma Diagnosis ... high-resolution chest CT ... Laboratory: • ANA ... mycobacteria Treatment ... #differential #diagnosis
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Pneumonia (CAP) - Diagnosis ... radiograph or CT ... Yield of blood CX ... #Management #treatment ... #Pulmonary #Community