26 results
Progressive Massive Fibrosis on Chest X-Ray
In a construction worker presenting with shortness of breath.
Progressive Massive Fibrosis
Progressive Massive Fibrosis ... on Chest X-Ray ... a construction worker ... chronic interstitial lung ... #Chest #XRay #CXR
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management Differential ... (JVP, edema), Lung ... POCUS (B-lines, lung ... STAT CXR, CTA Chest
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
atelectasis • Lung ... fibrosis RR ... MG, ALS) • ↓ chest ... compliance (e.g., flail chest ... Hypoxemia #Hypoxia #differential
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
skin (esp. over areas ... Pericarditis) -> Chest ... Dyspnea, pleuritic chest ... cause interstitial lung ... disease/pulmonary fibrosis
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Metastatic tumors: Breast ... Leukemia Lung ... esophageal perforation. chest ... injury Blunt chest ... #Pericarditis #Differential
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Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Elasticity (flail chest ... Defect: Pulmonary Fibrosis ... , Interstitial Lung ... Hypoxia #hypoxemia #differential
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Aortic Rupture* Chest ... Fractures • Flail Chest ... Esophageal Injury Lung ... Hemothorax #Chest
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
terms to describe areas ... lucencies within the lung ... we describe a chest ... density in the lung ... #CXR #Lucency #Differential
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
Radiation C - Cystic Fibrosis ... caused by a rigid chest ... clearance: - Cystic Fibrosis ... Silicosis - Coal worker ... #diseases #differential
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... X-ray - Lung ultrasound ... - CBC with differential