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clinical management cardiology checklist chest infectiousdiseases actinomyces actinomycosis atresia biopsy c contusion criticalcare ctchest cxr differential disseminated esophageal fistula fungal
Chest X-Ray Interpretation Checklist Outline ALL bones Check soft tissues Assess heart borders Is density, behind the heart the same
Chest X-Ray Interpretation ... compare hilum position ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
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 ... #criticalcare #diagnosis
Esophageal Atresia and Tracheoesophageal Fistula- An infant had an apneic episode at birth and received positive-pressure
birth and received positive-pressure ... fistula, type C, was diagnosed ... #NEJM #clinical ... #radiology #esophageal ... #Xray
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? ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Blood cultures are positive ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots
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 ... patient received a diagnosis ... #NEJM #clinical ... #radiology #CT #
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... trauma are diagnosed ... Due to their short ... wall, a chest x-ray ... #Radiology #CTChest
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Histoplasmosis Diagnosis ... aches, joint pain, chest ... Inhalation of spores ... arthritis, and endocarditis ... infection have positive
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