16 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... allopurinol), Infection ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... Evaluation: Imaging (CXR ... +/- High res CT ... chest scan), CBC ... #workup #diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... , CT, ultrasound ... pain) and signs ... #Pulmonolary
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Differential Diagnosis ... Opacities: • Infectious ... #differential #diagnosis ... #pulmonary #CXR ... #clinical #CT
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
cases Clinical Signs ... years - May have signs ... symptoms of active pulmonary ... tissue damage - CXR ... involvement - CT
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Nasal polyps and signs ... Physical stigmata of cor ... parenchyma Diagnosis ... CT) • Broncho-arterial ... #differential #diagnosis
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... chest to evaluate ... confirm DAH, r/o infection ... CT ... #management #treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... Blood cultures • CXR ... early disease) • CXR ... CT Lung Abscess ... Lung #Abscess #pulmonary
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... endocarditis w/ septic pulmonary ... #criticalcare #diagnosis ... #management
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... may aid in the diagnosis ... confirmed with chest ... CT angiography. ... #photo #CXR #EmergencyMedicine