9 results
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... HRCT #CTChest #NodularPattern ... #Nodular #Pattern
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Nodular: • Random ... HiRes #HighRes #Chest ... #CT #Patterns #
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
approach to empiric anticoagulation ... hyper-coagulable pattern ... Hypo-coagulable pattern ... #COVID19 #management ... #criticalcare #algorithm
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... morphology, "Sine wave" pattems ... hyperkalemia #potassium #high ... #algorithm #treatment
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... reticular nodular high ... perilymphatic or random ... Interpretation #Algorithm
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
not specific • Chest ... mosaic parenchymal pattern ... Rarely performed Anticoagulation ... Thromboendarterectomy #diagnosis #management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
blood flow in the chest ... PULMONARY A vs B-LINE PATTERN ... predominant lung US pattern ... larger bolus • HIGH ... comparison #challenges #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
ASA class If high ... event, follow ACC algorithm ... Anticoagulation ... change CV risk Chest ... medical and surgical management
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
nodules Previous chest ... with a benign pattern ... Management of indeterminate ... aspiration (TBNA) High ... #Management #Radiology