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clinical chest management cardiology checklist cxr differential infectiousdiseases actinomyces actinomycosis atresia biopsy c contusion criticalcare ctchest emergencies 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
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... Radiology • Miliary ... varicella - Disseminated ... #diagnosis #pulmonary ... CXR #clinical #CT
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
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
chills, headache Disseminated ... aches, joint pain, chest ... Inhalation of spores ... arthritis, and endocarditis ... infection have positive
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 #
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
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
chest; CT abdomen ... first) DIC (disseminated ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
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