9 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... diastolic septal shudder ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In the supine position ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
stomach bubble should ... a patient with signs ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... venous pressure, positive ... Chest x-ray: signs ... → no signs of CXR ... diagnosis #management #cardiology
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs ... #RadiologyAssistant
Dilation of the azygos vein is a sign of increased right atrial pressure and is usually
azygos vein is a sign ... In the standing position ... #Clinical #Radiology ... #CXR #CHF #Azygous ... AzygousVein #Dilatation #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
left decubitus position ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... AlveolarEdema #RadiologyAssistant
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... x-ray (CXR), try ... secretions and should ... #Radiology #CTChest