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clinical cardiology ctchest cxr endocarditis infectiousdiseases management actinomyces actinomycosis alveolar alveolaredema chf contusion differential disseminated edema fungal ild infections mycoses
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
area of the left lung ... The differential diagnosis ... for pulmonary tuberculosis ... Clinical #PCC #Radiology ... CXR #Oleothorax #NEJM
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 ... #management #cardiology
Stage III - Alveolar edema This stage is characterized by continued fluid leakage into the interstitium, which
left decubitus position ... Obstructive lung ... After treatment ... #Clinical #Radiology ... AlveolarEdema #RadiologyAssistant
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... hematuria, + RF Treatment
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
revealed multiple pulmonary ... Biopsy of the lung ... patient received a diagnosis ... #NEJM #clinical ... #radiology #CT #
On the left a smoker with RB-ILD with subtle HRCT-findings. The dominant pattern is ground glass opacification. Additional
thickening in the basal parts ... these non-specific CT ... broad differential diagnosis ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD #RadiologyAssistant
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Histoplasmosis Diagnosis ... Inhalation of spores ... change in the lungs ... nails, bronchi, lungs ... infection have positive
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Several of the diagnoses ... Due to their short ... #Radiology #CTChest ... #Lung #Pulmonary
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