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COVID-19 Patient Chest CT

Dr. Filippo Cademartiri @fcademartiri

#COVID19 #SARSCoV2 #CTChest #Clinical #CriticalCare #GroundGlass #CoronaVirus #CXR #ChestXRay
COVID-19 Patient Chest ... CT Dr. ... COVID19 #SARSCoV2 #CTChest ... #CoronaVirus #CXR
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
2-view chest 0.02 ... Head CT 4 mSv ... 200 CXRs Chest ... CT 3 mSv 150 CXRs ... Abdomen CT 5 mSv
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
• Non-contrast CT ... +/- TEE (high Afib ... v Holter (r/o Afib ... Defined if 1) CT
CT angiography chest showing #pulmonaryinfarction due to acute #pulmonaryembolism. #Hamptonhump was viewed on CXR (https://GrepMed.com/images/5576). #photo
CT angiography chest ... was viewed on CXR ... #photo #CT #Angiography
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
EKG: afib, twi I ... Resolution: CT surgery
On the left another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... on the coronal CT-reconstruction ... Clinical #Radiology #CXR ... #CTChest #Cardiomegaly
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Fibrillation (A-Fib ... exercise intolerance, chest ... control with early Afib ... (< 5% pts with afibb ... #Fibrillation #AFib
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... lesions than the chest ... On the CT cavitation ... Clinical #Radiology #CXR ... #CTChest #Septic
Chest Compressions on TEE with VFib and ROSC

#ACLS #TEE #VFib #ROSC #pocus #clinical
Chest Compressions ... on TEE with VFib ... #ACLS #TEE #VFib
VFib Arrest on POCUS Echocardiogram

67yo male arrives unresponsive and pulseless after 20min continuous prehospital CPR. 

#VFib
VFib Arrest on POCUS ... continuous prehospital CPR ... #VFib #Arrest #Cardiac