9 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... : - ANCA-positive ... high resolution chest ... CT • Bronchoscopy ... out infection, biopsy
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
may aid in the diagnosis ... confirmed with chest ... CT angiography. ... EmergencyMedicine #CriticalCare ... #Radiology #Cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... endocarditis w/ septic pulmonary ... Persistent fever, positive ... #diagnosis #management
Lymphangioleiomyomatosis- Computed tomography of the chest, reconstructed in the coronal plane at the level of the
tomography of the chest ... intraparenchymal pulmonary ... Lymphangioleiomyomatosis #LAM #radiology ... #CT #wedge #biopsy ... #NEJM
Esophageal Atresia and Tracheoesophageal Fistula- An infant had an apneic episode at birth and received positive-pressure
birth and received positive-pressure ... The Apgar scores ... fistula, type C, was diagnosed ... #NEJM #clinical ... #radiology #esophageal
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... Biopsy of the lung ... #NEJM #clinical ... #radiology #CT #
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
A chest radiograph ... bronchoscopy and biopsy ... confirmed a diagnosis ... #NEJM #clinical ... #radiology #CT #
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Several of the diagnoses ... trauma are diagnosed ... Due to their short ... #Radiology #CTChest