10 results
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 ... Internet Book of Critical
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
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Diagnosis: • Based on clinical ... antibodies - MuSK-positive ... should undergo chest ... CT to screen for ... - Improves clinical
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 ... hematuria, + RF Treatment
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... for pulmonary tuberculosis ... #Clinical #PCC # ... Radiology #CXR # ... Oleothorax #NEJM
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 ... #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 #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... aches, joint pain, chest ... Inhalation of spores ... arthritis, and endocarditis ... infection have positive
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... This patient’s clinical ... exam findings and clinical ... Due to their short ... #Radiology #CTChest