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clinical diagnosis lung atresia biopsy c carcinoma cardiology checklist chest contusion criticalcare ctchest cxr emergencies esophageal fistula fungal hemeonc hiatalhernia
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 ... Persistent fever, positive ... • Aggressive management
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
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... #diagnosis #management ... #cardiology
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
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
aches, joint pain, chest ... Inhalation of spores ... arthritis, and endocarditis ... infection have positive ... Fungal #Diagnosis #Management
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
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... SpO2 88% on room air ... Due to their short ... #Radiology #CTChest ... #Lung #Pulmonary
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... “big & sticky” cells ... renal failure, pulmonary
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