Chest
Terms
undefined, object
copy deck
- A2BC3
-
acinar rossettes(rounded poorly defined nodules in size of acini ,6-10mm,best seen at periphery of opacity)
air bronchogram/air alveologram
butterfly,batwing distribution perihilar/bibasilar
coalescent/conflent cloudlike ill-defined opacitiies
consolidation in diffuse, perihilar/bibasilar,segmental/lobar, nultifocal/lobular distribution
changes rapidly(labile/fleeting) - constrictive pericarditis
-
music
myocardial infarction
uremia
surgery(cardiac)
infection
cancer - honeycomb lung
-
SHIPS BOATS
sarcoidosis
histiocytosis x
idiopathic(UIP)
pneumoconiosis
scleroderma
bleomycicin,busulfan
02 toxicity
arthritis(RA)
amyloidosis,allergic alveolitis
tuberous sclerosis.TB
storage disease(gaucher) - diffuse airspace disease
-
AIRSPACED
aspiration
inhalation,inflammation
renal(uremia)
sarcoidosis
proteinosis(alveolar)
alveolar ca
CHF
Emboli
drug rxn, drowning - bilateral hilar adenopathy
-
please helen lick my popsicle stick
primary TB
histoplasmosis
lymphoma
mets
pneumoconiosis
sarcoidosis - cystlike pulmonary lesions
-
CCI BAN WHIPS
coccidiomycosis
cysticadenomatoid malformation
infection
bronchogenic cyst,bronchiectasis,bowel
abscess
neoplasm
wegners granulomatosis
hydatid cyst, histiocytosis x
infarction
pneumatocoele
sequestration -
RETICULAR NODULAR PATTERN
(LOWER LOBE PREDOMINENCE) -
CIA
collagen vascular
idiopathic
asbestosis - reverse batwing
-
REDS
resolving pneumonia
eosinophilic pneumonia
desquamative interstitial pneumonia
sarcoidosis - MULTIPLE PLEURAL DENSITIES
-
MARY TYLER MOORE LIKES LEMONS
mets esc.adenoca
thymoma(malignant)
malignant mesothelioma
loculated pleural effusion
lymphoma - PLEURAL CALCIFICATION
-
TAFT
tuberculosis
asbestosis
fluid(effusion,empyema,hematoma)
talc - PLEURAL THICKENING
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TRINI
trauma(healed hemothorax)
rheumatoid arthritis(collagen vascular disease)
inhalation disease(asbestosis,talcosis)
neoplasm
infection - UNILATERAL HILAR ADENOPATHY
-
FAT HILA SUCK
fungus
hodgkins
squamous/oat cell carcinoma - POSTERIOR MEDIASTINAL MASSES
-
BELLMAN
bochdalek hernia
extramedullary hematopoiesis
lymphadenopathy
lymphangioma
meningocele(lateral)
aneurysm
neurogenic tumor - MIDDLE MEDIASTINAL MASSES
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HABIT
hernia,hematoma
aneurysm
bronchogenic cyst,duplication cyst
inflammation(sarcoidosis,histoplasmosi,coccidiomycosis,primary tb in childern)
Tumors:- remember the 5 L's
lung,escpecially oat cell ca
lymphoma
leukemia
leiomyoma
lymph node hyperplasia - ANTERIOR MEDIASTINAL MASSES
-
4 T'S
thymoma
teratoma
thyroid tumor/goiter
terrible lymphoma - PERIHILAR "BATWING" INFILATRATES
-
PLEASE,PLEASE,PLEASE,STUDY LIGHT,DON'T GET ALL UPTIGHT
pulmonary edema
proteinosis
periarteritis
sarcoidosis
lymphoma
drugs
goodpasture
alveolar cell ca
uremia - PERIPHERAL "REVERSE BAT WING" INFILTRATES
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REDS
resolving pulmonary edema
eosinophilic pneumonia
desquamative interstitial pneumonia
sarcoidosis - DIFFUSE INFILTRATES IN IMMUNOCOMPROMISED CANCER PATIENT
-
FOLD
failure(CHF)
opportunistic infection
lymphangitic tumor spread
drug reaction - DISCOID ATELECTASIS
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EPIC
embolus
pneumonia
inadequate inspiration
carcinoma,obstruction - CHRONIC INFILTRATE CHILDHOOD
-
"ABC'S"
asthma,aggamaglobunemia,aspiration
bronchiectasis
cystic fibrosis
sequestration,intralobar - PULMONARY EDEMA
-
ABCDEFGHI-PRN
aspiration
burns
chemicals
drugs(heroin,nitrofuratoin,salicylates)
exudative skin disorders
fluid overload
gram - shock
heart failure
intracranial condition
polyarteritis nodosa
renal disease
near drowning - NONCARDIOGENIC PULMONARY EDEMA
-
"THE ALPHABET"
ards,alveolar proteinosis,aspiration,anaphylaxis
bleeding diathesis,blood transfusion reaction
cns(increased pressure,trauma, surgery, cva, cancer)
drowning(near), drug reaction
embolus(fat,thrombus)
fluid overload,foreign-body inhalation
glomerulonephritis,goodpasturesyndrom,gastrograffin aspiration
high altitude,heroin,hypoproteinemia
inhaltion(S02,smoke,CO,cadmium,silica)
narcotics,nitrofurantoin
oxygen toxicity
pancreatitis
rapid reexpansion of pneumothorax/removal of pleural effusion
transfusion reaction
uremia - PULMONARY EDEMA WITHOUT CARDIOMEGALY
-
UDOPA
uremia
drugs
overhydration
pulmonary hemorrhage
acute myocardial ischemia,arrythmia - PULMONARY INFILTRATES IN NEONATE
-
I HEAR
infection(pneumonia)
hemorrhage
edema
aspiration
respiratory distress syndrome - HYPERINFLATION IN CHILD
-
BUMP FAD
bronchiectasis
upper airway obstruction
mucoviscidosis
pneumonia(esp.staph)
foreign body(ball-valve mechanism)
asthma
dehydration(diarreha,acidosis) - LOCALIZED AIRSPACE DISEASE
-
4P'S & TAIL
pneumonia
pulmonary edema
pulmonary contusion
pulmonary intrstitial edema
tb
alveolar cell carcinoma
infarct
lymphoma - ACUTE ALVEOLAR INFILTRATES
-
I 2 CHANGE FAST
infarct
infection
contusion
hemorrhage
aspiration
near drowning
goodpasture syndrome
edema
fungus
allergic sensitivity
shock lung
tb - CHRONIC ALVEOLAR INFILTRATE
-
STALLAG
sarcoidosis
tb
alveolar cell carcinoma
lymphoma
lipoid pneumooa
alveolar proteinosis
goodpasture syndrome - UPPER LUNG DISEASE
-
SHIRT CAP
sarcoidosis
histoplasmosis
idiopathic
radiation tx
tb(postprimary)
chronic extrinsic alveolitis
ankylosing spodylitis
progressive massive fibrosis - CHRONIC DIFFUSE INFILTRATIVE LUNG DISEASE
-
HIDE FACTS
hamman-rich, hemosiderosis
infection,irradiation,idiopathic
dust,drugs
eosinophilic granuloma,edema
fungal,farmer's lung
aspiration(oil),arthritis(rheuatoid,ankylosing spondylitis)
collagen vascular disease
tumor,tb,tuberous sclerosis
sarcoidosis,scleroderma - CHRONIC DIFFUSE INFILTRATIVE LUNG DISEASE OF UPPER LOBES
-
CASSET
cystic fibrosis
ankylosing spondylitis
silicosis
sarcoidosis
eg
tb,fungus - CHRONIC DIFFUSE INFILTRATIVE LUNG DISEASE OF LOWER LUNG ZONE
-
BAD LASS RIF
bronchiectasis
aspiration
deratomyositis
lymphangitic spread
asbestosis
sarcoidosis
scleroderma
rheumatoid arthrieis
idiopathic pulmonary fibrosis
furadantin - CHRONIC DIFFUSE INFILTRATIVE LUNG DISEASE WITH INCREASED LUNG VOLUME
-
ELECT
emphysema with interstitial lung disease
lymphangioleiomyomatosis
eosinophilic granuloma(langerhans) in 33%
cystic fibrosis
tuberous sclerosis - DIFFUSE FINE RETICULATIONS
-
HELP
hypersensitiviyt
edema
lymphoperoliferative
pneumonitis(viral) - CHRONIC DIFFUSE FINE RETICULATIONS
-
LIFE lines
lymphangirtic spread
inflammation/infection
fibrosis
edema - RETICULONODULAR LUNG DISEASE
-
PLEAE DONT EAT STALE TUNA FISH SANDWICHES EVERY MORNING
pneumoconiosis
drugs
eosinopphilic granuloma
sarcoidosis
tuberculosis
fungal disease
schistosomiasis
exanthem(measels,chicknepox)
metastases(thyroid) - RETICULONODULAR PATTERN & LOWER LOBE PREDOMINANCE
-
CIA
collagen vascular disease
idiopathic
asbestosis - MACRONODULAR LUNG DISEASE
-
GAMMA WARPS
granuloma(eosinophilic granuloma,fungus)
abscess
metastases
multiple meloma
avm,
wegeners granulomatosis
amyloidosis
rheumatoid lung
parasites(echinococcus.paragonimiasis)
sarcoidosis - DIFFUSE FINE NODULAR DISEASE AND MILIARY NODULES
-
TEMPEST
tuberclosis + fungal disease
eoinophilic granuloma
meastases(thyroid,lymphangitic carcionatosis)pneumoconiosis,parasites
embolism of oily contrast
sarcoidosis
tuberous sclerosis - SOLITARY NODULE/MASS
-
BIG SOLITARY PULMONARY MASES COMMONLY APPEAR HOPELESS AND LONELY
bronchogenic carcinoma
solitary metastasis,sequestrarion
pseudotumor
mesothelioma
cyst(bronghogenic,neurenteric,echinococcal)
adenoma,arterivenous malformation
hamartoma,histoplasmosis
abscess,actionmycosis
lymphoma - LARGE PULMONARY MASS
-
CAT PIES
carcinomea(larger cell, squamous cell, cannon ball mertastasis_
abscess
toruloma(cryptococcus0
pseudotumor,plasmacytoma
inflammatory
echinococccal disease
sarcoma,sequestrartion - SHAGGY PULMONARY NODULE
-
SHAGGY SUE MADE LOVING A REALLY WILD FANTASY TODAY
sarcoidosis,alveolar type
septic emboli
metastasis
lymphoma,lung primary,lymphomatoid grnulomatosis
alveolar cell carcinoma
rheumatoid lung
wegener granulomatosis
fungus
tuberculosis - CAVITATING LUNG NODULE
-
CAVITY
carcinoma(squamous cell),cystic bronchiectasis
autoimmune disease(wegener granulomatosis,rheumatoid lung)
vascular(bland/septic emboli)
infection(abscess,fungal disease,tb, echinococcus)
trauma
young+congenital(sequestration,diaphragmatic hernia,bronchogenic cyst) - MULTIPLE PULMONARY NODULES AND MASSES
-
SLAM DA PIG
sarcoidosis
lymphoma
alveolar proteinosis
metastases
drugs
alveolar cell carcinoma
pneumoias
infarcts
goodpasture syndrome - SMALL PULMONARY NODULES
-
MALTS
metastases(esp.thyroid)
alveolar cell carcinoma
lymphoma,leukemia
tb
sarcoid - CALCIFIED PULNONARY NODULES
-
HAM TV Station
histoplasmosis,hamartoma
amyloid,alveolar microlithiasis
mitral stenosis,metastasis(throid,osteosarcoma,mucioous carciona)
tuberculosis
vaiceella
silicosis -central/laminated/popcorn/diffuse calcifications are characteristic of benigh solitary lung nodules1 - OPACIFICATION OF HEMITHORAX
-
FAT CHANCE
fibrothorax
adenomatoid malformation
trauma(ie.hematoma)
collapse,cardiomegaly
hernia
agenesis of lung
neoplasm(ie.mesothelioma)
consolidation
effusion - MULTIPLE THIN WALL CAVITIES
-
BITCH
bullae + pneumatocoeles
infection(tb,cocci,staph)
tumor(squamous cell carcinoma)
cysts(traumatic,bronchogenic)
hydrocarbon ingestion - BRONCHIAL OBSTRUCTION
-
MEATFACE
mucus plug
endobronchial granulomatous disease
adenoma
tuberculosis
foreign body
amyloid,atresia(bronchial)
cancer(primary)
endobronchial metastasis - CAUSES OF PNEUMOTHORAX
-
THE CHEST SET
trauma
hoeycomb lung,hamman-rich syndrome
emphysema,esophageal rupture
chronic obstructive pulmonary disease
hyaline membrane disease
endometriosis
spontaneous,scleroderma
tuberous sclerosis
sarcoma(osteo-),sarcoidosis
eg
tb and fungus - ADULT RESPIRATORY DISTRESS SYNDROME
-
DICTIONARIES
disseminated intravascular coagulation
infection
caught drowning
trauma
inhalants: smoke,phosgene, NO2
02 toxicity
narcotics + other drugs
aspiration
radiation
includes pancreatitis
emboli: amniotic fluid, fat
shock:septic,hemorrhagic,cardiogenic,anaphylactic - PRIMARY DIAGNOSTIC CRITERIA FOR ABPA
-
ARTEPICS
asthma(84-96
%)
roentgenographic transient or fixed pulmonary infiltrates
test for A. fumigatus positive:immediate skin reaction
eosinophilia in blood between 8% and 40%
precipitting antibodies to A. fumigartus(70%)
IgE in serum elevated
central bronchiectasis(late manifestation that proves diagoosis)
serum_specific IgE and IgG A, fumigatus levels elevated -
BOCHDALEK HERNIA(85
% 90%) OF DIAPHRAGMATIC HERNIAS) -
4 B'S
bochdalek
back(posterior location)
babies(age at presentation)
big(usually large) - MORGAGNI HERNIA (1-2%)
-
4 M'S
morgagni
middle(anterior + central location)\mature(tend to present in older children)
miniscule(usually small) - LYMPHANGITIC CARCINOMATOSIS
-
CERTAIN CANCERS SPREAD BY PLUGGING THE LYMPHATICS
cervix
colon
stomach
breast
pancreas
thyroid
larynx - CAVITATING LUNG METASTASES
-
SQUAMOUS CELL METASTASES TEND TO CAVITATE
squamous cell carcinoma,sarcoma
colon
melanoma
trasitional cell carcinoma
cervix,during chemotherapy - CALCIFYING LUNG METASTASES
-
BOTTOM
breast
osteo/chondrosarcoma
thyroid(papillary)
testicular
ovarian
mucinous adenocarcinoma(colon) - GYNECOMASTIA CAUSES
-
CODES
cirrhosis
obesity
digitalis
estrogen
spironolactone - INCREASED PULMONARY BLOOD FLOW WITH CYANOSIS
-
ADMIXTURE LESIONS + T LESIONS
5 T'S + CAD
Transposition of great vessels = complete TGV, +/- VSD, most common cause for cyanosis in neonate
Tricuspid atresia with or without transposition, + VSD 2nd most common cause for cyanosis in neonate
Truncus arteriosus
Total anomalous pumomonary venous reeuunr, (TAPVR), above diaphragm:supracardiac or cardiac (coronary sinus/right atrium)
Tingle + single venticle
Common atrium
Aortic atresia
Double-outlet right ventricle (DORV type 1) / taussig-bing anomaly (DORV type 2) - DECREASED PULMONRY BLOOD FLOW WITH CYANOSIS
-
P2 TETT
pulmonic stenosis with ASD
pulmonic atresia
tetralogy of fallot
ebstein anomaly
tricuspid atresia with pulmonic stenosis
transposition of great vessels with pulmonic stenosis - NORMAL PULNONARY VASCULARITY AND NORMAL-SIZED HEART
-
MAN
myocardial ischemia
afterload(pressue overload problems)
normal - COR PULMONALE
-
TICCS BEV
thoracic deformity
idiopathic
chronic pulmonary emblolism
COPD
shunt(ASD, VSD, etc.)
Bronchiectasis
emphysema
vasculitis - SHUNT AT ATRIAL LEVEL
-
PET
pulmonary stenosis/atresia with intact ventricular septum
ebstein malformation + uhl anomaly
tricuspid atresia(ASD in 100%) - CONGESTIVE HEART FAILURE & CARDIOMEGALY
-
MA MCCAE & CO.
myocardial infarction
anemia
malformation
cardiomyopathy
coronary artery disease
aortic insufficiency
effusion
coarctation - CONGENITAL CARDIOMYOPATHY
-
CAVE GI
cystic medial necrosis of coronary arteries
aberrant left coronary artery/absent coronary artery
viral myocarditis
endocardial fibroelastosis
glycogen storage disease(Pompe)
infant of diabetic mother/ischemia - PERICARDIAL EFFUSION CAUSES
-
CUM TAPPIT RV
collagen vascular disease
uremia
metastasis
trauma
acute myocardial infarction
purulent infection
post MI syndrome
idiopathic
tuberculosis
rheumatioid arthritis
virus - AORTIC DISSECTION TYPES
-
ABI
affects ascending aorta and arch
begins beyond brachiocephalic vessels
1 = 2 & 3
Stanford type A (60-70%) ascending aorta +/- arch in first 4 cm in 90%
Stanford type B (30-40%) descending aorta only
type 1 ascending and descending aorta
type 2 ascending aorta only
type3 descending aorta only - FAMILIAL CONNECTIVE TISSUE DISEASE RESULTING IN AORTIC REGURGITATION
-
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