Expiratory Exam, ETT
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0164-Expiratory Exam, ETT
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CA0164-Expiratory Exam, ETT
Case ReportHistory
Exam
Prior Study
Findings
Technique
The AP supine exam is expiratory.
Support Devices
The ETT is at the carina and should be retracted 1-2 cm.
There is an NG tube extending below the GE junction though the tip is not included.
Cardiomediastinum
The mediastinum is not abnormally widened considering the expiratory technique. There is enlargement of the cardiac silhouette.
Vasculature
The aorta, central pulmonary arteries, and hila are not enlarged for expiratory technique.
There is haziness and congestion of the central pulmonary vasculature.
Lungs
The lungs are underinflated. There is mild diffuse interstitial disease likely from edema.
There is focal or lobar atelectasis or airspace disease of the left lower lobe.
The left hemidiaphragm is obscured from left lower lobe opacification and likely pleural fluid.
Pleura
There is likely a small left pleural effusion and blunting of the right costophrenic angle.
Bones, Soft Tissues, Upper Abdomen
The bones, soft tissues, and upper abdomen are normal.
Impression
There may also be airspace disease in the left lower lobe.
The ETT is at the carina and should be retracted 1-2 cm.
There is cardiomegaly, central pulmonary venous congestion and mild interstitial edema.
