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clinical management lung pocus radiology cancer causes differential plax rheumatology ultrasound acidosis adultonset algorithm amiodarone anesthesia anesthesiology boop carcinoma cardiac
Malignant Complex Pleural Effusion on Lung POCUS You are starting your RUSH exam on febrile/hypotensive patient with
Malignant Complex ... Pleural Effusion ... Diagnosis? ... pleural effusion ... #POCUS #Pulmonary
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 Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Noninfectious: • Malignancy ... #Effusion #Pulmonary
Split Pleura Sign on Chest CT • Contrast enhancement of the parietal and visceral pleura, separated
by an exudative effusion ... DDx: Empyema, malignant ... effusions, post-talc ... Sign #CT #Lung #Pulmonary ... #diagnosis #radiology
Fibrinous septations in Malignant Pleural Effusion (MPE) - Lung POCUS • can be triggered by thoracenteses
septations in Malignant ... Pleural Effusion ... Fibrinous #septations #Malignant ... #Pleural #Effusion ... clinical #ultrasound #pulmonary
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 Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Differential Diaqnoses ... Hantavirus • Malignant ... hepatitis • Pulmonary ... : pleural effusion ... Stills #Disease #diagnosis
Pulmonary complications of targeted therapy -Immune checkpoint inhibitors (e.g. pembrolizumab) -Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... -It’s a diagnosis ... infection and malignancy-associated ... case reports of pleural ... effusion associated
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
with CTD, drugs, malignancy ... Rare: pleural effusions ... , pleural thickening ... other processes Workup ... #ILD #diagnosis
Malignant RV Mass on POCUS Echocardiogram (PLAX) 57yo M with chest pain. Normal work up including
Malignant RV Mass ... on POCUS Echocardiogram ... Normal work up including ... outpatient & ED workup ... #Echocardiogram
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 Metastatic Sarcoma causing Cardiac Tamponade on POCUS This 50 yo man had an aggressive sarcoma with cardiac
Cardiac Tamponade on POCUS ... with cardiac and pulmonary ... No pericardial effusion ... #Sarcoma #malignant ... #clinical #echocardiogram
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 Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
and exudative pleural ... effusions • Acute ... pneumonitis Diagnosis ... embolism - Malignancy ... #diagnosis #management
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