Heparin-induced thrombocytopenia chest x ray: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Heparin-induced thrombocytopenia}} | {{Heparin-induced thrombocytopenia}} | ||
{{CMG}}; | {{CMG}}; {{shyam}} | ||
==Overview== | ==Overview== | ||
A chest X-ray is not a standard diagnostic workup test done for HIT, but it is useful for patients who develop thrombotic complications involving the chest. Chest X-ray can show [[Hamptom's hump]], [[Westermark's sign]], or [[Fleischner's sign]]. | |||
==Chest X-Ray== | ==Chest X-Ray== | ||
A chest X-ray is not typically used to diagnosis HIT. However, if a patient has pulmonary embolism as a thrombotic manifestation of HIT, a chest X-ray can show an acute cardiopulmonary process, such as Hampton's hump, Westermark's sign, or Fleischner's sign.<ref name="pmid26312141">{{cite journal| author=Kumaresh A, Kumar M, Dev B, Gorantla R, Sai PV, Thanasekaraan V| title=Back to Basics - 'Must Know' Classical Signs in Thoracic Radiology. | journal=J Clin Imaging Sci | year= 2015 | volume= 5 | issue= | pages= 43 | pmid=26312141 | doi=10.4103/2156-7514.161977 | pmc=4541161 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26312141 }} </ref> | A chest X-ray is not typically used to diagnosis HIT. However, if a patient has [[pulmonary embolism]] as a thrombotic manifestation of HIT, a chest X-ray can show an acute cardiopulmonary process, such as Hampton's hump, Westermark's sign, or Fleischner's sign.<ref name="pmid26312141">{{cite journal| author=Kumaresh A, Kumar M, Dev B, Gorantla R, Sai PV, Thanasekaraan V| title=Back to Basics - 'Must Know' Classical Signs in Thoracic Radiology. | journal=J Clin Imaging Sci | year= 2015 | volume= 5 | issue= | pages= 43 | pmid=26312141 | doi=10.4103/2156-7514.161977 | pmc=4541161 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26312141 }} </ref> | ||
* '''Hampton's hump''' refers to a wedge-shaped infarct in the pulmonary parenchyma. This is secondary to embolus resulting in acute occlusion of an arterial branch supplying the pulmonary parenchyma. It was described by Aubrey Hampton in the 1940s. It is also referred to as the melting sign. | * '''Hampton's hump''' refers to a wedge-shaped infarct in the [[Parenchyma|pulmonary parenchyma.]] This is secondary to [[embolus]] resulting in acute occlusion of an arterial branch supplying the pulmonary [[parenchyma]]. It was described by Aubrey Hampton in the 1940s. It is also referred to as the melting sign. | ||
* '''Westermark's sign''' refers to distal oligemia (abrupt disruption of blood flow in the pulmonary vessels).<ref name="pmid26312141">{{cite journal| author=Kumaresh A, Kumar M, Dev B, Gorantla R, Sai PV, Thanasekaraan V| title=Back to Basics - 'Must Know' Classical Signs in Thoracic Radiology. | journal=J Clin Imaging Sci | year= 2015 | volume= 5 | issue= | pages= 43 | pmid=26312141 | doi=10.4103/2156-7514.161977 | pmc=4541161 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26312141 }} </ref> It is also known as the knuckle sign. It is the converse of Fleischner's sign | * '''Westermark's sign''' refers to [[Oligemia|distal oligemia]] (abrupt disruption of blood flow in the [[pulmonary vessels]]).<ref name="pmid26312141">{{cite journal| author=Kumaresh A, Kumar M, Dev B, Gorantla R, Sai PV, Thanasekaraan V| title=Back to Basics - 'Must Know' Classical Signs in Thoracic Radiology. | journal=J Clin Imaging Sci | year= 2015 | volume= 5 | issue= | pages= 43 | pmid=26312141 | doi=10.4103/2156-7514.161977 | pmc=4541161 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26312141 }} </ref> It is also known as the knuckle sign. It is the converse of Fleischner's sign. | ||
* '''Fleischner's sign''' refers to dilation of the pulmonary vasculature proximal to the obstruction. A pulmonary embolism will cause dilation of the pulmonary artery due to increased back-up pressure in the pulmonary circulation. It is the converse of Westermark's sign. | * '''Fleischner's sign''' refers to dilation of the [[pulmonary vasculature]] proximal to the obstruction. A [[pulmonary embolism]] will cause dilation of the [[pulmonary artery]] due to increased back-up pressure in the [[pulmonary circulation]]. It is the converse of [[Westermark's sign]]. | ||
==Reference== | ==Reference== | ||
Latest revision as of 19:13, 18 August 2017
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Heparin-induced thrombocytopenia |
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Differentiating Heparin-induced thrombocytopenia from other Diseases |
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Diagnosis |
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Treatment |
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Heparin-induced thrombocytopenia chest x ray On the Web |
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American Roentgen Ray Society Images of Heparin-induced thrombocytopenia chest x ray |
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Directions to Hospitals Treating Heparin-induced thrombocytopenia |
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Risk calculators and risk factors for Heparin-induced thrombocytopenia chest x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Shyam Patel [2]
Overview
A chest X-ray is not a standard diagnostic workup test done for HIT, but it is useful for patients who develop thrombotic complications involving the chest. Chest X-ray can show Hamptom's hump, Westermark's sign, or Fleischner's sign.
Chest X-Ray
A chest X-ray is not typically used to diagnosis HIT. However, if a patient has pulmonary embolism as a thrombotic manifestation of HIT, a chest X-ray can show an acute cardiopulmonary process, such as Hampton's hump, Westermark's sign, or Fleischner's sign.[1]
- Hampton's hump refers to a wedge-shaped infarct in the pulmonary parenchyma. This is secondary to embolus resulting in acute occlusion of an arterial branch supplying the pulmonary parenchyma. It was described by Aubrey Hampton in the 1940s. It is also referred to as the melting sign.
- Westermark's sign refers to distal oligemia (abrupt disruption of blood flow in the pulmonary vessels).[1] It is also known as the knuckle sign. It is the converse of Fleischner's sign.
- Fleischner's sign refers to dilation of the pulmonary vasculature proximal to the obstruction. A pulmonary embolism will cause dilation of the pulmonary artery due to increased back-up pressure in the pulmonary circulation. It is the converse of Westermark's sign.
Reference
- ↑ 1.0 1.1 Kumaresh A, Kumar M, Dev B, Gorantla R, Sai PV, Thanasekaraan V (2015). "Back to Basics - 'Must Know' Classical Signs in Thoracic Radiology". J Clin Imaging Sci. 5: 43. doi:10.4103/2156-7514.161977. PMC 4541161. PMID 26312141.