10 results
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
bubble and the lung ... with signs of CHF ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
venous pressure, positive ... : weight gain, lung ... → no signs of CXR ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... verrucous) • Lung ... Blood cultures are positive ... #diagnosis #management ... #cardiology
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... on POCUS Echocardiogram ... frequently have lung ... emboli (see CT cor ... #clinical #cardiology
Good vs Bad CPR on POCUS TEE during Cardiac Arrest
POCUS TEE can be utilized intra-arrest to
on POCUS TEE during ... Cardiac Arrest POCUS ... mid-esophageal long ... changed their hand position ... #acls #arrest #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... unless prior heart/lung ... medical and surgical management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
change in the lungs ... arthritis, and endocarditis ... nails, bronchi, lungs ... infection have positive ... Fungal #Diagnosis #Management
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
supine or erect position ... left decubitus position ... Obstructive lung ... #Clinical #Radiology ... #CXR #CHF #Alveolar
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... This post will focus ... a chest x-ray (CXR ... not seen on a CXR ... #Lung #Pulmonary