9 results
Empyema on POCUS

89-year-old male with fever and dyspnea. Lung ultrasound reveals what chest x-ray hides -
Empyema on POCUS ... reveals what chest ... x-ray hides - Loculated ... Pleural Effusion ... #Effusion
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... drain on POCUS ... - What’s the diagnosis ... effusion where ... #Lung
Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Effusion on Lung ... Diagnosis? ... U/S could be empyema ... treatment.Had chest ... #Effusion #Lung
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
on Chest CT • ... • DDx: Empyema ... #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
Pulmonary edema; ARDS ... Actinomyces spp., NHL; Lung ... effusion; empyema ... #differential #diagnosis ... #chestCT #radiology
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
be present on a chest ... fully explained by pleural ... effusions, lobar ... collapse, lung ... arterial oxygen tension
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
is within the pleura ... injury to the lung ... pneumothorax • 24-28 Fr tension ... Fr hemothorax/empyema ... ChestTube #Drains #Diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... edema, bilateral pleural ... effusions). 1/5
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
ACEi/ARBs - Hold ... change CV risk Chest ... X-ray: • Not ... unless prior heart/lung ... stratification #diagnosis