Archive for 5月 2011
CXR 胸部x光判讀 malignant mesothelioma

Nonpleuritic chest pain
40% thrombocytosis
unilateral pleural effusion or thickening
CT:
Rind-like pleural involvement,
mediastinal pleural involvement,
pleural nodularity
pleural thickness more than 1 cm
http://www.ejradiology.com/article/S0720-048X%2801%2900426-0/abstract
need.
吸入型藥物 整理

Inhaled Corticosteroids
Peter J. Barnes Pharmaceuticals 2010, 3, 514-540
http://www.mdpi.com/1424-8247/3/3/514/
摘要
1. Inhaled corticosteroid: 增加 β2 receptor gene transcription,避免使用LABA後的down-regulation,prevention β agonist tolerance。
2. β2 agonist.
CXR 胸部x光判讀 pulmonary embolism

Left lung oligemia (Westermark sign)
pulmonary embolism in left pulmonary artery
pulmonary infarction
1. Only 10% involve the upper lobe2. pulmonary infarction 10-15%, wedge-shaped3. Westermark’s sign (focal oligemia) Palla’s sign (prominent.
CXR 胸部x光判讀 aortic dissection

Type A aortic dissection
After operation
Widened superior mediastinum, double aortic knob,displaced intimal calcificationDD with aortic aneurysm, mediastinal tumor, tortuosity of aorta
aortic dissectionhttp://reference.medscape.com/featu.