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differential clinical radiologyassistant cardiology cxr management lung algorithm interstitial sign table comparison criticalcare ct heartfailure patterns treatment chestpain chronic consolidation
Interstitial Lung Diseases (ILD) Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): • Hypersensitivity pneumonitis, Farmer's lung, Bird
Hypersensitivity pneumonitis ... ILD caused by inhalation ... • Radiation pneumonitis ... #diagnosis #differential ... #pulmonary #causes
ILD of Known Cause - Differential Diagnosis Exposure: • Occupational: Asbestosis, Silicosis, Hypersensitivity, Pneumonitis • Treatment Related:
ILD of Known Cause ... - Differential Diagnosis ... Hypersensitivity, Pneumonitis ... BrighamChiefs #ILD ... lung #disease #pulmonary
Approach to the diagnosis of chronic hypersensitivity pneumonitis. *Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
Approach to the diagnosis ... cHP = chronic hypersensitivity ... pneumonitis; HRCT ... #pulmonary #diagnosis ... algorithm #HP #ILD
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... - Differential Diagnosis ... Chest Wall Abnormalities ... Interstitium • ILD ... • CHF • Sarcoidosis
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Diagnosis Framework ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... #Causes #Cardiology
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
bronchiolitis (RB-ILD ... Hypersensitivity pneumonitis ... - Aspiration - Pulmonary ... edema #Diagnosis ... #Radiology #Pulmonary
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
Hypersensitivity pneumonitis ... Hypersensitivity pneumonitis ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular
Pulmonary complications of targeted therapy -Immune checkpoint inhibitors (e.g. pembrolizumab) -Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... pembrolizumab) -Pneumonitis ... -It’s a diagnosis ... There are case reports ... #Radiology #Honc
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
- Differential Diagnosis ... - Tamponade Pulmonary ... • Parenchyma: ILD ... #differential #diagnosis ... #causes #pulmonary
Stage I - Redistribution In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... with old fims can ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
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