11 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... evaluation - Chest ... X-ray - Lung ultrasound ... as clinically indicated ... #algorithm #schema
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Checklist Outline ALL bones ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #diagnosis #pulmonary
Total atelectasis
The chest x-ray shows total atelectasis of the right lung due to mucus plugging.
Notice the
atelectasis The chest ... x-ray shows total ... thus obstructing one ... #Clinical #Radiology ... #CXR #Total #Lung
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology
Diffuse consolidation in bronchoalveolar carcinoma
The chest x-ray shows diffuse consolidation with 'white out' of the left
carcinoma The chest ... x-ray shows diffuse ... Final diagnosis: ... #Clinical #Radiology ... #CXR #Consolidation
Sternal fracture on POCUS. 

It’s super easy! Place linear probe in long axis over point of
disruption of bony ... much higher than CXR ... & can diagnose ... Xray read as normal ... #POCUS #ultrasound
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... particularly at the lung ... to confirm the diagnosis ... pattern at the lung ... #Clinical #Radiology
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... diagnosis; the ... orient in line on long ... course based on chest ... #ultrasound #trauma
Lung infarction
The radiographic features of acute pulmonary thromboembolism are insensitive and nonspecific.
The most common radiographic findings
Pulmonary Embolism Diagnosis ... pulmonary emboli the chest ... x-ray is normal ... #Clinical #Radiology ... #CXR #PulmonaryEmbolism
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... post op Cardiology ... change CV risk Chest ... unless prior heart/lung