10 results
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Overriding aorta ... along with concave Pulmonary ... Artery segment. ... #CXR #clinical ... #radiology #peds
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
Undifferentiated critical ... if cardiac or pulmonary ... interrupted arch, aortic ... #presentation #Differential ... Peds #Pediatrics #Color
Broncholithiasis - Differential Diagnosis Framework

 • Also known as: Lung stones, pulmoliths, pneumoliths, bronchial calculi
 •
Broncholithiasis - Differential ... Broncholithiasis - Clinical ... erosion into the aorta ... or pulmonary artery ... Diagnosis: • Chest Xray
Aortopulmonary Window connection between Ascending Aorta & Main Pulmonary Artery
 - Presence of 2 semilunar valves
between Ascending Aorta ... & Main Pulmonary ... Artery - Presence ... APWindow #PSAX #clinical ... #color #doppler
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
< 30 years • Aorta ... Arteritis): • Aorta ... Superficial temporal artery ... disturbance • Temp. artery ... gut involvement, abdominal
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Regurgitation • Colon ... block, annular or aortic
Iatrogenic Pneumothorax

Navigational bronchoscopy was performed with BAL and transbronchial biopsy and fine needle aspiration of the
After the procedure ... Labeled CXR: https ... CXR #ChestXRay #Clinical ... #Pulmonary #Iatrogenic ... #Biopsy #Radiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Change in clinical ... risk (>5%): - Aortic ... Severe Aortic stenosis ... undergoing AAA or upper abdominal
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Ovarian CA, involves aortic ... Cerebral > Splenic, Pulmonary ... Regurgitation • Colon ... block, annular or aortic
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... exam findings and clinical ... improved to 90% after ... consider intra-abdominal ... #Radiology #CTChest