9 results
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
localizing signs ... or symptoms - Malaria ... amebic abscess of liver ... or elevation of liver ... Cough, dyspnea - Pneumonia
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
infiltrate (e.g., CXR ... Inflammation (e.g., fever ... symptoms (e.g., ... chest pain) and signs ... #Pneumonia #Venn
Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
Bronchograms in Pneumonia ... lung looks like liver ... CXR in video for ... Ultrasound #clinical #pocus ... #Pulmonary
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
example of 'shred sign ... a patient with fever ... This POCUS finding ... on CXR/CT imaging ... ultrasound #lung #pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... Pneumonia Signs ... /Symptoms: • Confusion ... urea nitrogen level ... #treatment #Pulmonary
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... e.g. incidental CXR ... Pulmonary: dyspnea ... heart (2-5%), liver ... #Signs #Symptoms
Cryptogenic Organizing Pneumonia - Illness Script

PATHOPHYSIOLOGY: Unknown trigger, reversible inflammatory/fibroproliferative process. Polypoid fibroblastic aggregates that plug
Males=Females SIGNS ... /SYMPTOMS: • Acute ... Cough, dyspnea, fever ... #diagnosis #management ... #pulmonary
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
- Ferritin, liver ... post-flu MRSÅ pneumonia ... BID if <96hr of symptoms ... lab-confirmed influenza, pulmonary ... Influenza #Checklist #Management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This post will focus ... a chest x-ray (CXR ... not seen on a CXR ... bleeding often from a liver