Our mission is to provide multiple formats for learners to learn pulmonary and critical care medicine 🫁 Co-founders @KMonty_MD and @david_furfaro
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Apr 2 • 7 tweets • 2 min read
We are excited to bring back one of our high-yield #RadiologyRounds to start off the month of April
In addition to bilateral apical bulls disease, what other abnormality do you identify?
Dec 19, 2023 • 9 tweets • 3 min read
As we approach the end of the year, we know that the hospital and clinic keep on rolling, so here is a CXR and pulmonary differential based #RadiologyRounds if you're on for the holiday blocks
A woman in her 50s has hypoxemia after being admitted with a femur fracture
What do you see on the CXR to help explain the patient's hypoxemia?
Jul 19, 2023 • 7 tweets • 2 min read
We are back with our first #RadiologyRounds of the new academic year🫁
We have a young, immunocompetent man presenting with fever, weight loss and abdominal pain.
What abnormalities are seen on chest imaging?
May 30, 2023 • 10 tweets • 4 min read
Nothing like #RadiologyRounds to kick off a work week after a long weekend!
A middle aged man with metastatic esophageal cancer presents with 2 weeks of low grade fevers and more recently progressive dyspnea . Exam notable for late inspiratory crackles throughout the right lung
A CT scan was obtained and here are the images:
A woman in her 30s with no past medical history presents with acute dyspnea, fever and a non-productive cough.
She has no sick contacts or recent travel. She is not on home medications and smokes cigarettes and occasionally vapes.
What is the predominant imaging abnormality?
Apr 11, 2023 • 13 tweets • 4 min read
For "#RadiologyRounds" today, we won't be looking at any imaging, but we'll be looking at some vent wave forms and examining dysynchrony! This is a re-booted @david_furfaro Tweetorial.
I hope you enjoy and this is an open invitation for all dysynchrony waveforms!🫁🚨
A 40s M is intubated for ARDS. In order to maintain lung protective ventilation, he was on high does of propofol, fentanyl and midazolam. His sedation is being weaned slightly now, and the RN calls for vent dysynchrony. His ventilator looks like this
Apr 6, 2023 • 5 tweets • 2 min read
Wow great thoughts by everyone on this case! For a reminder, a man in his 40s has progressive dyspnea and fatigue after a mild COVID infection and this CT scan:
Many of you rightly pointed out
🔹Septal thickening
🔹Reticular infiltrates
🔹Pleural involvement and effusions
🔹GGOs
All of these features are present. What is strikingly prominent is the reticulation and septal thickening. With this we always want to think about the lung lobule and its features:
Jun 10, 2022 • 4 tweets • 1 min read
A patient with pneumonia and ischemic cardiomyopathy was intubated for hypoxemic respiratory failure. They’ve improved and been on minimal vent settings, but repeated SBT failures
What breathing pattern is happening with the patient on pressure support 5/5?
May 31, 2022 • 6 tweets • 2 min read
We are excited to bring you another #RadiologyRounds which applies some of the knowledge from our most recent episode.
A patient in her 20s presents with shortness of breath at rest, left sided pleuritic chest pain and increase in cough and sputum production.
In addition to underlying parenchymal disease, what other abnormality do you see?
Jan 25, 2022 • 6 tweets • 2 min read
Our last few #PulmPEEPs radiology rounds have been CT-centric, so today we’re going back to some useful CXR signs!
Our patient is admitted to the ICU for hypoxemia and has poor compliance and low P:F ratio after intubation 2/ On reviewing the CXR there is concern for lobar collapse in the ________ lobe
Jan 12, 2022 • 5 tweets • 2 min read
Welcome to the first #PulmPEEPs radiology rounds of 2022!
You are concerned for diffuse alveolar infiltrates on chest x-ray and you obtain a CT chest for better parenchymal visualization. How would you best describe the imaging findings on CT chest?
Nov 30, 2021 • 7 tweets • 4 min read
1/ It’s Pulm PEEPs Tuesday and times for another Radiology Rounds! 2/ How would you describe the CXR findings?