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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... necrosis (7-14 days later ... Lung abscess ... Lung Abscess - Clinical ... seen • Chest CT
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Fractures (medial/lateral ... can't make A-OK sign ... Splint: Posterior long ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
Xrays Check ... fat pad (sail sign ... #Injuries #Xrays ... #Radiology #peds ... #Pediatrics #clinical
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... gallop rhythm), and laterally ... : weight gain, lung ... Chest x-ray: signs ... → no signs of CXR
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... • If stable ... repair MH/CCF ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis
PA view
On the PA chest-film it is important to examine all the areas where the lung
the silhouette sign ... we will discuss later ... paravertebral abscess ... #Clinical #Anatomy ... #Radiology #CXR
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... signs of congestive ... Bilateral pleural ... #Clinical #Radiology ... #CTChest #CHF #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... disease b) CHF ... Change in clinical ... Stable patients ... unless prior heart/lung
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... (CXR), try rotating ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary