Elsevier

Diseases of the Chest

Volume 48, Issue 5, November 1965, Pages 525-526
Diseases of the Chest

ROENTGENOGRAM OF THE MONTH

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Diagnosis: DIFFUSE INTRAPULMONARY HEMORRHAGE CAUSED BY COUMADIN INTOXICATION

The admission chest roentgenogram reveals widespread bilateral alveolar pulmonary infiltrate with “butterfly” distribution. There is little or no cardiac enlargement.

After intravenous and oral administration of vitamin K, the prothrombin activity showed rapid return to normal levels, and the hematuria and hemoptysis ceased. The chest roentgen findings cleared in four days.

Pulmonary edema and bronchopneumonia were considered in the differential diagnosis. He did not exhibit such signs of heart

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    Circulation

    (1962)
There are more references available in the full text version of this article.

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Readers are invited to submit articles for the Roentgenogram of the Month. Please submit a brief abstract of your case to Benjamin Felson, M.D., Department of Radiology, Cincinnati General Hospital, Cincinnati, Ohio.

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