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HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
- Displaced Apical Impulse
-

#HFrEF #LowEF #PhysicalExam ... LRs #diagnosis #cardiology ... #CHF

On the left a patient who had a CT to rule out pulmonary embolism.
There is a

#Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant

Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for

for diagnosis of CHF ... Hepatojugular #Reflux #PhysicalExam ... #VolumeStatus #Cardiology

Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient

Nodular pattern( ... histiocytosis: early nodular ... #Clinical #Radiology ... HRCT #CTChest #Nodular ... Comparison #Table #RadiologyAssistant

Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
• Overall judgement of ED physician

Examination #chf ... #cardiology #heartfailure ... #physicalexam #

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Nodular pattern ... #Clinical #Radiology ... HRCT #CTChest #Nodular ... Comparison #Table #RadiologyAssistant

Here are the most common examples of these four patterns on a chest x-ray (click image

opacities - Fine Nodular ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant

Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and

nodules and the nodular ... #Diagnosis #Radiology ... Perilymphatic #Nodular ... #Differential #RadiologyAssistant

On the left another typical case of sarcoidosis.
In addition to the perilymphatic nodules, there are multiple

#Clinical #Radiology ... Peribronchovascular #Nodular ... #RadiologyAssistant

Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round

Nodular LCH: - Sarcoidosis ... Clinical #Diagnosis #Radiology ... Comparison #Table #RadiologyAssistant

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