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Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... with "spine sign ... #Sign #Clinical ... #POCUS #Lung #Pleural ... #pulmonary
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... effusion, the spine ... #SpineSign #POCUS ... #Clinical #Pleural ... #Effusion #Pulmonary
Spine Sign on Lung POCUS
Spine Sign with spine extending past the diaphragm superiorly means there is
Spine Sign on Lung ... POCUS Spine Sign ... consolidation or pleural ... #Spine #Sign ... #Lung #POCUS #clinical
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Too slow • Pericardium ... - Water - Pus ... - Blood • Pleura ... : - Effusion ... Transverse myelitis • Hematology
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
Inflammation of pericardium ... effusion on CXR ... inflammation tends to cause ... interstitial lung disease/pulmonary ... pathophysiology #signs
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... and no apparent focus ... accumulation (ascites, pleural ... effusion, pericardial ... effusion)
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... edema, bilateral pleural ... effusions). 1/5 ... pts w/ acute HF ... of obstructive epicardial
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... Xerotrachea • NSIP: Pleural ... thickening or effusion ... , INC risk PE, Pulmonary ... lubricants • Pharmacologic
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 ... the determined cause ... #pharmacology