Knowledge (XXG)

Westermark sign

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1027: 103:(92%) for the diagnosis of pulmonary embolism. Put more simply, the Westermark sign is seldom seen in pulmonary embolism. When visible on a chest X-ray, the Positive Predictive Value is only 33%. That is, 33% of the time that Westermark sign is seen on Chest XRay does a pulmonary embolism actually exist 264: 173:
Worsley D, Alavi A, Aronchick J, Chen J, Greenspan R, Ravin C (1993). "Chest radiographic findings in patients with acute pulmonary embolism: observations from the PIOPED Study".
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Essentially, this is a plain X-ray version of a filling defect as seen on computed tomography pulmonary arteriogram.
58:(PE). While the chest x-ray is normal in the majority of PE cases, the Westermark sign is seen in 2% of patients. 1087: 944: 743: 568: 979: 100: 888: 860: 646: 1054: 931: 840: 563: 368: 27: 835: 358: 242: 463: 78:
the collapse of the distal vasculature creating the appearance of a sharp cut off on chest radiography.
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Gurney J. CT: Diagnosis of Pulmonary Embolism. chestx-ray.com. Available at:
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Ray J (2003). "Westermark sign and suspected pulmonary embolism".
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http://www.chestx-ray.com/Lectures/PulmEmbLecture/PulmEmbolus.pdf
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http://www.med-ed.virginia.edu/courses/rad/cxr/index.html
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Accessed on: November 13, 2006. 1025: 187:10.1148/radiology.189.1.8372182 1: 142:(3): 317, author reply 317. 83:Sensitivity and specificity 50:that represents a focus of 1109: 1020: 87:The Westermark sign, like 569:Precordial catch syndrome 469:Cheyne–Stokes respiration 118:, a Swedish radiologist. 980:Pneumatosis intestinalis 861:Traction bronchiectasis 652:Charcot–Leyden crystals 841:Sail sign of the chest 369:Whispered pectoriloquy 28:Differential diagnosis 836:Peribronchial cuffing 889:Canga's bead symptom 647:Curschmann's spirals 495:Respiratory distress 334:Pleural friction rub 93:pulmonary infarction 68:the dilation of the 922:Osteopathia striata 1093:Medical sign stubs 688:pulmonary embolism 660:chronic bronchitis 500:Respiratory arrest 479:Ataxic respiration 474:Kussmaul breathing 464:Biot's respiration 459:Agonal respiration 355:Elicited findings 299:Respiratory sounds 278:respiratory system 274:Signs and symptoms 114:It is named after 75:to the embolus and 70:pulmonary arteries 56:pulmonary embolism 1050: 1049: 1018: 1017: 965:Hot quadrate sign 811:Air crescent sign 788:Dense artery sign 733: 732: 547: 546: 40:chest radiography 36: 35: 16:Medical condition 1100: 1088:Radiologic signs 1071: 1064: 1057: 1029: 1022: 932:Gastrointestinal 866:Tree-in-bud sign 816:Deep sulcus sign 783:Aortic unfolding 767:Radiologic signs 760: 753: 746: 737: 418:Hyperventilation 391: 276:relating to the 267: 260: 253: 244: 238: 237: 218: 212: 205: 199: 198: 170: 164: 158: 152: 151: 131: 19: 1108: 1107: 1103: 1102: 1101: 1099: 1098: 1097: 1078: 1077: 1076: 1075: 1019: 1014: 994: 926: 899:Musculoskeletal 893: 875: 871:Westermark sign 856:Thumbprint sign 846:Silhouette sign 797: 769: 764: 734: 729: 707:pulmonary edema 699:Westermark sign 616:Post-nasal drip 611:Silhouette sign 543: 534:Mouth breathing 483: 447: 423:Hypoventilation 380: 280: 271: 241: 234: 220: 219: 215: 206: 202: 172: 171: 167: 159: 155: 133: 132: 128: 124: 116:Nils Westermark 112: 99:(11%) and high 85: 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359:Percussion 122:References 793:Halo sign 606:Epistaxis 514:Trepopnea 509:Platypnea 505:Orthopnea 443:Bradypnea 433:Tachypnea 428:Hyperpnea 386:Breathing 175:Radiology 110:Etymology 586:Cyanosis 574:Pleurisy 524:Asphyxia 438:Hypopnea 374:Egophony 339:Fremitus 314:Crackles 148:12680403 73:proximal 52:oligemia 539:Snoring 452:Pattern 413:Dyspnea 324:Stertor 319:Rhonchi 304:Stridor 195:8372182 641:asthma 621:Hiccup 596:Sputum 329:Squawk 309:Wheeze 230:  193:  146:  42:, the 1033:This 591:Cough 552:Other 488:Other 401:Apnea 46:is a 1039:stub 627:COPD 394:Rate 228:ISBN 191:PMID 144:PMID 48:sign 183:doi 179:189 38:In 1084:: 189:. 177:. 140:19 138:. 106:. 1070:e 1063:t 1056:v 1045:. 759:e 752:t 745:v 507:/ 266:e 259:t 252:v 236:. 197:. 185:: 150:.

Index

Differential diagnosis
chest radiography
sign
oligemia
pulmonary embolism
pulmonary arteries
proximal
Hampton's hump
pulmonary infarction
sensitivity
specificity

Nils Westermark
PMID
12680403
http://www.med-ed.virginia.edu/courses/rad/cxr/index.html
doi
10.1148/radiology.189.1.8372182
PMID
8372182
http://www.chestx-ray.com/Lectures/PulmEmbLecture/PulmEmbolus.pdf
Dorland's Illustrated Medical Dictionary
ISBN
978-1455709854
v
t
e
Signs and symptoms
respiratory system
Auscultation

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