Hi Michael
“Sarcoidosis, a Scare, Chest Pain and an Octopus”
This is a story about a 59 year old woman who had sarcoidosis, who had a scare developed chest pain that sounded like acute coronary syndrome and was short of breath
Your part is to teach about Heart Failure on CXR in 4 minutes!
I am close to finishing your part which is now on this page
Let me know about any reservations
Thanks
AD
hi Michael
Hope this is not too late – I exchanged the interstitial edema example for a beautiful example of Kerley B lines and peribronchial cuffing (near the end )
Questions to be asked when looking for CHF
1 Size of the LA?
2 – Ratio branch pulmonary arteries to bronchus?
3 – Fuzziness of the Vessels? (Peribronchial cuffing, Kerley B)
4 Alveolar Edema
Questions
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Is the LA Enlarged?
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Is it an LA with a 10 mmHg, 20 mmHg or 30 mmHg pressure
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Is the PA diameter>Bronchus in the middle or upper lobe vessels? and or redistribution
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Is there fuzziness of the vessels? and or peribronchial cuffing, Kerley B, effusions
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Is there alveolar edema? and or perihilar infiltrates
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1 Is the LA Enlarged?
Is it an LA with a 10 mmHg, 20 mmHg or 30 mmHg pressure
2.1
Is the PA>Bronchus?
and or redistribution
Then it is at least 10 mmHg
2.2
Is there fuzziness of the vessels? and or peribronchial cuffing, Kerley B, effusions
ie Is there interstitial edema?
Then it is at least 20 mmHg
Kerley B Line and Peribronchial Cuffing
2.3
Are there perihilar batwing infiltrates?
ie Is there alveolar edema?
Then LA pressure is at least 30 mmHg
TOP left image is of normal alveoli
Top Rt is PA slightly greater than bronchus = LVEDP 10-20 mmHg
Bottom left = 20-30 interstitial edema – peribronchial cuffing and Kerley B
Bottom Rt >30 = Alveolar Edema