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clinical diagnosis management cardiology infectiousdiseases lung actinomyces actinomycosis atresia biopsy c carcinoma checklist chest contusion criticalcare ctchest cxr differential disseminated
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... w/ septic pulmonary ... for metastatic infection ... Persistent fever, positive
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... diagnosis #management #cardiology
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 ... thoracic vertebra and air ... #NEJM #clinical ... #radiology #esophageal
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
aches, joint pain, chest ... Inhalation of spores ... becomes a yeast cell ... arthritis, and endocarditis ... have positive blood
Large Hiatal Hernia - A chest radiograph showed a large air–liquid shadow in the inferior retrocardiac
Hiatal Hernia - A chest ... inferior retrocardiac position ... #Clinical #Radiology ... #CXR #CT #HiatalHernia ... #NEJM
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Infectious: • Pre-existing ... Blood cultures are positive ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
revealed decreased air ... A chest radiograph ... tomography of the chest ... #NEJM #clinical ... #radiology #CT #
Lymphangioleiomyomatosis- Computed tomography of the chest, reconstructed in the coronal plane at the level of the
tomography of the chest ... intraparenchymal pulmonary ... Spindle cells coexpressing ... #CT #wedge #biopsy ... #NEJM
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... progressive bacterial infection ... #NEJM #clinical ... #radiology #CT #
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
infection suspected ... ) - CT chest; CT ... interventional radiology ... “big & sticky” cells ... renal failure, pulmonary
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