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management clinical differential acquired bronchiectasis cap cardiology chf community constrictive contusion ctchest emergencies hemeonc hepatology hepatopulmonary nejm oleothorax oncologic oncology
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... These findings suggest ... #a4c #pocus #clinical
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 Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
o infection • Echocardiogram ... or serologies + symptoms ... FINDINGS: • AAV ... sparing of the lung ... #management #treatment
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Incidental Finding ... area of the left lung ... for pulmonary tuberculosis ... Clinical #PCC #Radiology ... #CXR #Oleothorax
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... dilation - Positive findings ... on radioactive lung ... resolution of symptoms ... #management #treatment
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... Nasal polyps and signs ... in the adjacent lung ... of the affected lung ... mycobacteria Treatment
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... e.g. incidental CXR ... finding) ... Pulmonary: dyspnea ... #Management #Signs
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
fever: - Fever + ANC ... afebrile 24-48 h and ANC ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Pneumonia (CAP) - Diagnosis ... Management Pneumonia Signs ... /Symptoms: • Confusion ... • Auscultatory findings ... #Pulmonary #Community
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... physical exam findings ... a chest x-ray (CXR ... #Radiology #CTChest ... #Lung #Pulmonary
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