9 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Typical symptoms ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology
Sand Storm Sign on Chest CT
 • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
on Chest CT • Diffusely ... arrow) • DDx: PAM ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
on Chest CT • Parallel ... bronchiectasis, CF ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... features on the chest ... In daily clinical ... #Diagnosis #Radiology ... #CHF #CXR #Stages
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... with presence of pulmonary ... algorithm #management #cardiology ... #heartfailure #chf ... #pharmacology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
and Clinical Features ... ↑ 24-hour urine ... is suspected: chest ... x-ray and/or CT ... #signs #symptoms
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... /Symptoms: • Confusion ... radiograph or CT ... Blood cultures - Urine ... Management #treatment #Pulmonary
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... interventional radiology ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... x-ray (CXR), try ... wall, a chest x-ray ... not seen on a CXR