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management pulmonary cardiology echocardiogram signs acquired arthritis bronchiectasis cancer cap carcinoma clots community contusion cushings differential disease endocrinology evaluation heartfailure
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
with acute onset CP ... What's the diagnosis ... Discharged 3 d later ... #Clinical #POCUS ... Echocardiogram #A4C
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 Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Typical symptoms ... Less Typical Symptoms ... Chest x-ray: signs ... of CXR congestion
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... Loss of weight • Chest ... Physical stigmata of cor ... high-resolution chest ... Laboratory: • ANA, RF, CCP
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
citrullinated peptide (CCP ... elderly persons - CCP ... titer, ACE level, CXR ... ANAs • RF and CCP ... years with neck, chest
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... renal failure Clinical ... e.g. incidental CXR ... dyspnea, cough, chest ... #Management #Signs
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
) - Diagnosis and ... Management Pneumonia Signs ... /Symptoms: • Confusion ... • Pleuritic chest ... infiltrate by chest
Malignant RV Mass on POCUS Echocardiogram (PLAX) 57yo M with chest pain. Normal work up including
PLAX) 57yo M with chest ... negative ECG, CXR ... Post-op course initially ... well, then 4mo later ... Echocardiogram #clinical
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 Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... and Clinical Features ... is suspected: chest ... x-ray and/or CT ... #signs #symptoms
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... Change in clinical ... have one post op ... change CV risk Chest ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest
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