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

Advertisements
, ,

About emrems411

EMREMS: Radiology in Emergency Medicine

View all posts by emrems411

Subscribe to EMREMS

Subscribe to our RSS feed and social profiles to receive updates.

Trackbacks/Pingbacks

  1. The LITFL Review 084 - October 1, 2013

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

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

w

Connecting to %s

%d bloggers like this: