17 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
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... , CT, ultrasound ... #Pneumonia #Venn ... #Pulmonolary
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
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Differential Diagnosis ... rarely typical pneumonia ... #differential #diagnosis ... #pulmonary #CXR ... #clinical #CT
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae ... Diagnosis: • Physical ... Exam, CXR, ENT ... exam, CT sinus ... Specificity of 97%) Treatment
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... identified, Strep pneumoniae ... Evaluation: Imaging (CXR ... +/- High res CT ... HIVAIDS #workup #diagnosis
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
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
for Klebsiella pneumonia ... Blood cultures • CXR ... early disease) • CXR ... seen • Chest CT ... Lung #Abscess #pulmonary