11 results
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... disease or CHF) ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... hypergammaglobulinemia, ↑ acute
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... structures in the right lung ... CT demonstrated ... #Clinical #Radiology ... #CXR #CTChest #
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Pattern - Chest Radiology ... throughout the lungs ... hematogenous spread of a disease ... diagnosis #pulmonary #CXR ... #clinical #CT
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
is a fibrotic lung ... disease caused ... Calcification (seen in CT ... Silicosis #clinical #radiology ... #CXR #Chest #XRay
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... frequently have lung ... septic emboli (see CT ... cor image https ... Echocardiogram #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Congenital heart disease ... verrucous) • Lung ... , Pancreas, Gastric ... Culture (+): Acute ... diagnosis #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... (Sens. 81% for acute ... CXR congestion. ... coronary artery disease
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
Carcinoma of the Lung ... base of the right lung ... indicated stage IV disease ... #NEJM #clinical ... #radiology #CT #
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... , verrucous) - Lung ... , Pancreas, Gastric ... Culture Positive: • Acute ... Differential #Diagnosis #cardiology