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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Pattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... making an accurate diagnosis ... in the nodular pattern ... #NodularPattern ... #Nodular #Pattern
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Miliary TB: random ... #Clinical #Diagnosis ... CTChest #Nodular #Pattern ... #NodularPattern
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... Notes: (A) Normal ... artifact); (G) UIP pattern ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... perilymphatic or random ... bronchiectasis) #Diagnosis ... Interpretation #Algorithm
VExUS - Venous Excess Ultrasound Score 
Grade 0 - IVC grade < 3, HD grade 0,
HV/PV/RV patterns ... with mild flow pattern ... with severe flow pattern ... IVC #Congestion #Diagnosis ... #POCUS #Clinical
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... evaluation of the pattern ... Areas of diagnostic ... #Algorithm #Hepatology ... #Differential #Diagnosis
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... 12.4, obstructive pattern ... hepatic panel, normal ... Diagnosed with cholangiocarcinoma ... #ultrasound #clinical
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 ... This post will focus ... chest radiograph pattern ... defaulting to a normal