124 results
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
if high risk if WBC ... 5 or elevated Cr ... common • Imaging: CXR ... - pulmonary opacities ... diagnosis #management #hematology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Presentation (Pulmonary ... Investigations • Labs: CBC ... , cr, ESR, CRP ... , anti-CCP • CXR
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
blasts and high WBC ... , dyspnea, +/- CXR ... • Lab values: WBC ... acid, Elevated Cr ... diagnosis #management #hematology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pneumothorax • Pulmonary ... ultrasound • CXR ... • CBC, BMP, LET
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... STAT Labs (BMP, CBC ... Troponin), ABG, STAT CXR
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
cancer screening, CBC ... , aPTT, +/- CXR ... Hypercoagulable #Workup #hematology ... diagnosis #algorithm #hematology
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
#Chest #XRay #CXR ... Pawnbrokers #Sign #clinical ... #radiology #pulmonary
Bronchopneumonia Consolidation Pattern on Chest X-Ray

Patchy areas of consolidation that may be initially limited to one
to one or more pulmonary ... #Chest #XRay #CXR ... #clinical #radiology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
comorbidities: • CBC ... ventilated • CXR ... of AECOPD: • Clinical ... Exacerbation #treatment #pulmonary