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Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... • Labs: CBC, cr ... , anti-CCP • CXR ... resolution chest CT ... #differential #diagnosis
Causes of Hemoptysis - Differential Diagnosis Algorithm
Massive Hemoptysis (>I00 mL in 24 hours)
 • Malignancy
 •
- Differential Diagnosis ... Malformation Normal CXR ... /CT • Hematemesis ... Bronchitis Diffuse CT ... Goodpasture's Syndrome
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
The video shows ... fractures missed by CXR ... , so use CT to identify ... #PhysicalExam #clinical ... #pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
The video shows ... fractures missed by CXR ... , so use CT to identify ... #PhysicalExam #clinical ... #pulmonary
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Sign on Chest CT ... • Distinct pulmonary ... #Vessel #Sign #CT ... #diagnosis #radiology ... #clinical
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... to rule out pulmonary ... The diagnosis based ... on this CT was ... #Clinical #Radiology
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Sign on Chest CT ... #Halo #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Pattern - Chest Radiology ... Differential Diagnosis ... #differential #diagnosis ... #pulmonary #CXR ... #clinical #CT
There are about a dozen x-ray findings, but two of them are especially important: Loss of
aortic knob/aortic-pulmonary ... #Clinical #Diagnosis ... #Radiology #CXR
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... UltraSound (POCUS) to CT ... #Diagnosis #Radiology ... ChestXRay #KUB #CXR