10 results
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
CT • Distinct ... • DDx: Septic emboli ... #Vessel #Sign #CT ... #diagnosis #radiology ... #clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Cause Injury By ... ↑ ESR, CRP • EKG ... #management #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... #clinical #cardiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... diffuse inhalational injury ... Differential Diagnosis ... #CXR #clinical ... #CT
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... Libman Sacks) • Atrial ... cause injury by ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... one post op Cardiology ... unless prior heart/lung ... CARP, DECREASE V trials ... stratification #diagnosis
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
There are two diagnostic ... chronic pulmonary embolism ... penicillamine) #Clinical ... #Radiology #CTChest ... #Attenuation #Comparison
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... exam findings and clinical ... This post will focus ... #Radiology #CTChest ... #Lung #Pulmonary