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diagnosis chest clinical cxr cardiology differential infectiousdiseases management actinomyces actinomycosis atresia c checklist contusion ctchest emergencies esophageal fibrosis 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 ... cervical rib Check lung ... #Checklist #radiology ... #diagnosis #pulmonary
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... throughout the lungs ... varicella - Disseminated ... #diagnosis #pulmonary ... CXR #clinical #CT
Progressive Massive Fibrosis aka Complicated Silicosis. Silicosis is a fibrotic lung disease caused by inhalation of crystalline
is a fibrotic lung ... Calcification (seen in CT ... Silicosis #clinical #radiology ... #CXR #Chest #XRay ... #labeled #pulmonary
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... revealed multiple pulmonary ... Biopsy of the lung ... #NEJM #clinical ... #radiology #CT #
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... 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 ... #NEJM #clinical ... #radiology #esophageal ... #Xray
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
aches, joint pain, chest ... Inhalation of spores ... change in the lungs ... arthritis, and endocarditis ... infection have positive
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Blood cultures are positive ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... first) DIC (disseminated ... interventional radiology ... renal failure, pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Due to their short ... wall, a chest x-ray ... #Radiology #CTChest ... #Lung #Pulmonary
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