Holy Cardiomegally Batman…

November 18, 2012

Cardiac, Chest XR, Non-Trauma, XR

Just saw this guy, he presented with severe dyspnea:



This is severe cardiomegally!  He looked very bad, had HTN in the 220/120 range, and sounded wet even though his xray doesn’t appear particularly full of pulmonary edema.  IT IS CRUCIAL THAT YOU RULE OUT CARDIAC TAMPANODE WITH THIS XRAY!

Turns out this guy wasn’t that interesting.  Bedside ultrasound didn’t show an effusion.  He had a severely dilated cardiomyopathy and once we got his blood pressure under control with nitrates he improved dramatically. 

Author:  Russell Jones, MD

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EMREMS: Radiology in Emergency Medicine

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    […] Holy Cardiomegally Batman…It is crucial that you rule out pericardial tamponade with this patient. […]

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