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His external chest exam was significant for gynecomastia despite recent bilateral mastectomy.
One of the patients, diagnosed with high-risk post-ET MF, had displayed abnormal ECG and chest exam (2/6 ejection murmur) at study entry.
There was otherwise no wheezing, chest exam was normal, as was the remainder of her examination, and room air oxygenation was 99%.
The most common criteria were increased cough (99%) and sputum (99%), increased dyspnea (98%), decreased FEV1 by ≥10% (94%), weight loss or anorexia (77%), change in chest exam (72%), radiographic infiltrates (52%), lethargy (46%), fevers (37%), and hemoptysis (36%).
Chest exam showed no signs of respiratory distress and was clear to auscultation.
Similar(55)
The inspection at the Brooklyn hospital, the State University of New York Downstate Medical Center, in March, was prompted by an article in The New York Times in February, revealing that in 2007 the hospital had discovered that premature babies — the most vulnerable of all patients — were frequently subjected to whole-body X-rays when only chest exams had been ordered.
Based on a conversion factor of 0.012 for chest exams, the estimated equivalent dose ranged between 9.2 mSv in low heart rates with strict dose modulation to 19.5 mSv in tall patients with heart rates around 70 80 bpm, which resulted in a wide pulsing interval of 30 70% with a still quite low pitch below 0.3.
Clinical evaluation included physical examination, blood tests, chest X-ray, mammography, ultrasound breast exam, breast magnetic resonance imaging (MRI) and core biopsy.
In the female scenario we found a statistically significant difference between what family physicians said they should perform and what they said they perform regularly in clinical practice for three interventions: the clinical breast exam, the chest X-ray and the assessment of tetanus immunisation status.
The effective dose of the portable chest DTS exam, as described in this study, was computed using the PCXMC [22] simulation software.
The radiation dose for a chest DTS exam using a dedicated wall-mounted flat panel is around 0.12 mSv for a typical acquisition of 60 projections [26].
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