16 results
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
< 30°C (86°F), but ... in people with high ... brain injury, medications ... #Cardiology #diagnosis ... #Clinical
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... TB: Tree-in-bud ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
can look similar but ... this ST Depression ... pattern suggests ... #EKG #Electrocardiogram ... #Cardiology #Clinical
Tree-in-Bud Sign on Chest CT
 • Multiple centrilobular nodules arranged in a linear branching pattern.
 •
linear branching pattern ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical #tree ... #bud
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Early-repolarization pattern ... QRS complex Pulmonary ... • Short QT, high ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... checkpoint inhibitors (e.g ... #Clinical #Diagnosis ... #Radiology #Honc ... PulmonaryComplications #Patterns
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
cut-offs defined in clinical ... Most useful in high ... non-neutropenic pts, SOT ... stopping abxs, but ... Galactomannan #diagnosis #comparison
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... allopurinol 300 mg BID ... decompression SVC ... renal failure, pulmonary
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
with a benign pattern ... mm depends on clinical ... aspiration (TBNA) High ... #Management #Radiology ... Society #Followup #Pulmonary