18 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... heartfailure #diagnosis #management
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... on Chest CT • Parallel ... bronchiectasis, CF ... #Tram #Track #Sign ... #CT #Lung #Pulmonary
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... be present or signs ... , specifically CT ... ultrasound as initial ... data • Early treatment
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
example of 'shred sign ... pneumonia on CXR/CT ... eabramsMD #Shred #sign ... clinical #photo #ultrasound ... #lung #pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... o infection • Echocardiogram ... sparing of the lung ... differential #diagnosis #management ... #treatment
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
causes (chronic lung ... Transthoracic echocardiogram ... m/s • Other signs ... pressure < 15mmHg TREATMENT ... Hypertension #diagnosis #management
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Nasal polyps and signs ... in the adjacent lung ... of the affected lung ... high-resolution chest CT ... mycobacteria Treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... 1 — Treat the lungs ... (no B-lines on ultrasound ... Revascularization, treatment ... #Checklist #CHF
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Full Set of Vital Signs ... Setup - Ultrasound ... Tamponade - Pulmonary ... #criticalcare #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... with presence of pulmonary ... #heartfailure #chf