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Subpulmonic Effusion Explained - Rock of Gibraltar sign

Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8

#Subpulmonic #Effusion #pathophysiology #clinical #pulmonary
Subpulmonic Effusion ... Rock of Gibraltar sign ... #Subpulmonic #Effusion ... pathophysiology #clinical #pulmonary ... #radiology #CXR
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Attempt vagal maneuvers ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... bilateral pleural effusions ... → no signs of CXR ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... edema - Large effusion ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
HoTN, edema and effusions ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... redistribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... differential #algorithm #management ... #heartfailure #chf
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... related to the pulmonary ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... after a challenge maneuver ... • PULMONARY A ... precede other signs ... comparison #challenges #management