13 results
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Typically with history ... period without chest ... Serial EKGS in pts ... Electrocardiogram #Diagnosis ... #Cardiology
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... cultures/serology: Serial ... valve pathology, History ... #Endocarditis #comparison ... #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Take a thorough history ... murmur 3/6) - Pulmonary ... Medical history ... Change in clinical ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
starts with a good history ... Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... #treatment #table
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... patients w/ different diagnoses ... strain related to pulmonary ... infarct or acute chest ... #clinical #cardiology
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
renal failure Clinical ... • Natural history ... Pulmonary: dyspnea ... , cough, chest pain ... #Management #Signs