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The Case of the Precise Inaccuracy - EM Nerd

Continuous chest compressions: precision, accuracy, and statistical leaps of faith...  
emnerd.com
over 3 years ago
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Imaging Case of the Week 188 Answer

The chest x-ray exhibits a well circumscribed opacity in the left upper lobe with ‘popcorn’ calcification. This is a feature of pulmonary hamartoma, which is a benign neoplasm of the lung.  
emergucate.com
over 3 years ago
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Imaging Case of the Week 188

The following chest x-ray is from a 68 year old with history of chest pain. What abnormality can be seen in the left lung field?  
emergucate.com
over 3 years ago
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Exercise induced bronchoconstriction in adults: evidence based diagnosis and management

EIB is commonly misdiagnosed because its symptoms (such as shortness of breath, chest tightness, wheezing, and cough) are neither sensitive nor specific  
feeds.bmj.com
over 3 years ago
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Imaging Case of the Week 187 Answer

The chest x-rays shows an expanded medial end of the right clavicle with irregular margins. The lung fields and rest of the bony skeleton appears normal.  
emergucate.com
over 3 years ago
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Exercise induced bronchoconstriction in adults: evidence based diagnosis and management

EIB is commonly misdiagnosed because its symptoms (such as shortness of breath, chest tightness, wheezing, and cough) are neither sensitive nor specific  
feeds.bmj.com
over 3 years ago
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Exercise induced bronchoconstriction in adults: evidence based diagnosis and management

EIB is commonly misdiagnosed because its symptoms (such as shortness of breath, chest tightness, wheezing, and cough) are neither sensitive nor specific  
feeds.bmj.com
over 3 years ago
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0

Exercise induced bronchoconstriction in adults: evidence based diagnosis and management

EIB is commonly misdiagnosed because its symptoms (such as shortness of breath, chest tightness, wheezing, and cough) are neither sensitive nor specific  
feeds.bmj.com
over 3 years ago
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Imaging Case of the Week 187

The following chest x-ray is from a 1 year old child with fullness over the right clavicle. The child has not been using his right arm well for a few days. What can be seen?  
emergucate.com
over 3 years ago
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An echo in Pulmonary Embolus (PE) - INTENSIVE

A 40 year old man presents with near syncopal events and has low oxygen saturations in the emergency department, on a past history of systemic hypertension. His blood pressure is low-normal and the chest X ray is clear, so he goes on to have an urgent CTPA which shows bilateral PE with a large burden of clot in both the left and right main pulmonary artery. Low dose thrombolysis is considered to minimise the risk of long term pulmonary hypertension. The patient is transferred to ICU and an urgent echo is performed to assess the right ventricle.  
intensiveblog.com
over 3 years ago
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CCC Update 013 | LITFL: Life in the Fast Lane Medical Blog

The latest update of major additions and revisions to the Critical Care Compendium. Topics featured include: driving pressure, PEA, sepsis definitions, sepsis biomarkers, procalcitonin, as well as open chest and delayed sternal closure.  
lifeinthefastlane.com
over 3 years ago
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Imaging Case of the Week 185 Answer

The frontal chest x-ray shows a triangular density behind the heart, silhouetting the medial aspect of the left hemi-diaphragm. The left main bronchus is depressed. These features are suggestive of a left lower lobe collapse.  
emergucate.com
over 3 years ago
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Imaging Case of the Week 184

This is a case of an 18 year old with asthma exacerbation. Two radiological signs, one on the frontal x-ray and the other on the lateral chest x-ray, can be observed; which are these?  
emergucate.com
almost 4 years ago
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Imaging Case of the Week 183

The following chest x-ray (frontal and lateral view), from an eighty year old presenting with cough, was requested to rule out a chest infection. What 2 abnormalities can be noted?  
emergucate.com
almost 4 years ago
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Basic Chest Radiography + ICU Radiology

Understand the role of radiologist in ICU/CCU.  
youtube.com
almost 4 years ago
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Diagnosing chronic obstructive pulmonary disease

Have a low threshold for considering chronic obstructive pulmonary disease (COPD) in any patient over 35 years old with dyspnoea, chronic cough, chronic sputum, wheeze or frequent chest infections, in the presence of a COPD risk factor such as smoking  
feeds.bmj.com
almost 4 years ago
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Diagnosing chronic obstructive pulmonary disease

Have a low threshold for considering chronic obstructive pulmonary disease (COPD) in any patient over 35 years old with dyspnoea, chronic cough, chronic sputum, wheeze or frequent chest infections, in the presence of a COPD risk factor such as smoking  
feeds.bmj.com
almost 4 years ago
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Imaging Case of the Week 181 Answer

The chest x-ray shows widening of the superior mediastinum with a bulge on the right suggestive of abnormally dilated ascending aorta.  
emergucate.com
almost 4 years ago
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IT ALL STARTED WITH A PLUNGER

Anesthesia and Analgesia just published a superb review on the current edge of CPR. But everything started with a plunger. Yup! A plunger ! In the late eighties, a son resuscitated his father with the help of a plunger. Poorly accustomed to standard CPR, he snapped a plunger to his father’s chest. This strategy may have amplified the chest decompression and he successfully resuscitated his father.  
scancrit.com
almost 4 years ago
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Prenatal treatments for babies with congenital diaphragmatic hernia | Cochrane

A congenital diaphragmatic hernia (CDH) is a hole in the diaphragm, the muscle that helps with breathing and separates the chest and abdomen. This defect can allow the liver and bowel to move to the chest cavity and interfere with lung development, affecting lung and heart function in newborn babies. At birth, respiratory insufficiency and pulmonary hypertension contribute to poor outcomes. About one in every 3000 babies may be affected and the problem can be diagnosed during a routine mid-pregnancy ultrasound at around 20 weeks. For babies born with a CDH, surgery in early life is necessary, but even with new surgical techniques there can be a poor outlook and many long-term medical problems. Treatments are now possible in pregnancy. Interventions described to date include maternal antenatal corticosteroid administration and prenatal tracheal occlusion to improve lung growth and maturity by obstruction of the fetal trachea. This increases airway pressure by preventing secreted lung fluid from leaving the lungs resulting in growth and expansion of the lungs. There are potential side effects and complications for the mother with this procedure as the uterus and amniotic sac are entered in order to gain access to the unborn baby.  
cochrane.org
almost 4 years ago