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clinical diagnosis cardiology management cxr infectiousdiseases actinomyces actinomycosis atresia biopsy c checklist chest contusion ctchest differential disseminated emergencymedicine esophageal fistula
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 ... #checklist #criticalcare
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
In this case, pulmonary ... confirmed with chest ... CT angiography. ... EmergencyMedicine #CriticalCare ... #Radiology #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... 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 ... A chest radiograph ... #NEJM #clinical ... #radiology #esophageal
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Blood cultures are positive ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... Differential #Diagnosis #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
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
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... #NEJM #clinical ... #radiology #CT #
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Due to their short ... Pulmonary Contusion ... #Radiology #CTChest ... #Lung #Pulmonary
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
host): • Chronic pulmonary ... aches, joint pain, chest ... Inhalation of spores ... arthritis, and endocarditis ... infection have positive
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