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clinical radiology diagnosis radiologyassistant pulmonary pocus management cardiology differential chestxray lateral algorithm ultrasound ctchest echocardiogram lung chest pneumonia xray collapse
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
ischemic changes CXR ... Catheterization: • PCWP
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
wedge pressure (PCWP ... Radiology #CHF #CXR
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
↓ CO, ↑ SVR, ↓ PCWP ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... ↑ CO, ↓ SVR, ↓ PCWP
Interstitial pneumonias An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
pneumonia: Viral PCP ... This was a PCP-infection ... Clinical #Radiology #CXR
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RESISTANCE = (meanPAP-PCWP ... based on PVR & PCWP ... RAP/PCWP RATIO ... • A ↑ RA/PCWP correlates ... • RA/PCWP>0.54
A 50 yo F with a history of poor dentition presents to the ED with fever
already seen her PCP ... A CXR is done. ... Clinical #Radiology #CXR
Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA
Normal/Low • PCWP ... mmHg • PADP-PCWP ... Normal/High • PCWP ... mmHg • PADP-PCWP
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
wedge pressure (PCWP ... x [mean PAp – PCWP ... LVSWI = [MAP – PCWP
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
• CD4 < 200: PCP ... Evaluation: Imaging (CXR ... Blood and sputum cx ... TB PCR sputum, PCP
Pulmonary Artery Catheter Pressures Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2 HFrEF,
Mean PAP <25, PCWP
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