Surgical lung biopsy to diagnose Behcet's vasculitis with adult respiratory distress syndrome.

A 34-year-old female presented with fever and abdominal pain. Past medical history includes Crohn's and Behcet's disease. Examination revealed multiple skin ulcerations, oral aphthae, and bilateral coarse rales.

Agreement between SPECT V/Q scan and CT angiography in patients with high clinical suspicion of PE.

Objective: To track agreement between single positron emission computed tomography (SPECT) V/Q and CT angiography in patients with high clinical suspicion of pulmonary embolism (PE). If significant agreement occurs, a case could be made for more frequent use of chest radiography followed by SPECT V/Q scanning given its lower risk profile.

Introduction: Diagnosis of PE can be difficult.

Resident performed two-point compression ultrasound is inadequate for diagnosis of deep vein thrombosis in the critically III.

Doppler ultrasonography is a standard in diagnosis of deep vein thrombosis (DVT) but is often delayed. Clinician-performed focused vascular sonography (FVS) has proven to accurately diagnose DVT in the ambulatory and emergency room settings. Whether trained medical residents can perform quality FVS in the critically ill is unknown.