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diagnosis pulmonary workup algorithm clinical radiology apdiameter arthritis bronchiectasis cancer carcinoma cardiology cd4 chested coronavirus covid19 disease evaluation fever fuo
Barrel Chest Appearance on Lateral Chest Xray Typically seen in the setting of chronic air-trapping in COPD -
Barrel Chest Appearance ... on Lateral Chest ... Xray Typically ... air-trapping in COPD ... #Chest #Xray #CXR
Increased Anterior Posterior Diameter: Barrel chested appearance resulting from air trapping that sometimes occurs with advanced COPD.
Posterior Diameter: Barrel ... with advanced COPD ... Xray on the right ... #Chested #Chest ... #CXR #Lateral #
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... , C3, C4, anti-CCP ... • CXR (diffuse ... high resolution chest ... Renal #Syndrome #differential
Diagnostic approach to the admitted patient with possible COVID-19 Initial evaluation - Chest X-ray - Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... X-ray - Lung ultrasound ... - CBC with differential ... C-reactive protein (CRP ... indicated (e.g. echocardiogram
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
• CD4 < 200: PCP ... heart failure, COPD ... Evaluation: Imaging (CXR ... /- High res CT chest ... diagnosis #evaluation #differential
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... obstruction • COPD ... 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
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
cultures • UA • Chest ... X-ray • Abdominal ... SPEP, ANA, anti-CCP ... • CT chest ... Neuroimaging • Echocardiogram
Malignant RV Mass on POCUS Echocardiogram (PLAX) 57yo M with chest pain. Normal work up including
Mass on POCUS Echocardiogram ... PLAX) 57yo M with chest ... negative ECG, CXR ... Post-op course initially ... well, then 4mo later
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