10 results
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Release from blast cells ... Cathepsin G release → vascular ... - pulmonary opacities ... sepsis), PE, DAH, CHF
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... difference in vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... diameter of the pulmonary ... #Clinical #Radiology ... #CXR #Lateral # ... CHF #Vascular #Engorgement
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... causing hypovolemia needing ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... - what is the bleeding
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... Simultaneous clotting and bleeding ... interventional radiology ... “big & sticky” cells ... renal failure, pulmonary
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
or dilated) • Valvular ... cardiomyopathy • Pulmonary ... Clinical • Under-recognized ... May have typical HF ... #treatment
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
increased width of the vascular ... After treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
structural and vascular ... x-ray (CXR), try ... not seen on a CXR ... intra-abdominal bleeding ... #Radiology #CTChest