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There is displacement of the azygoesophageal line both superiorly an inferiorly.
There is an air-fluid level (arrow).
Combined
diagnosis was achalasia ... result from prior aspiration ... #Clinical #Radiology ... #CXR #Achalasia ... AirFluidLevel #Aspiration
Here we have a prior CXR of this patient.
The AP-film shows a right paratracheal mass.
The azygoesophageal
the result of aspiration ... #Clinical #Radiology ... #CXR #CTChest #Achalasia ... Dilated #Esophagus #Aspiration
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Filling During Inspiration ... /Expiration • ... pressure with respiration ... With inspiration ... With inspiration
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
movement with inspiration ... movement with expiration ... Pediatrics #Peds #clinical
Amoebic Liver Abscess Aspiration

Classic anchovy sauce appearance of aspirate

#Amoebic #Amebic #Liver #Abscess #Aspiration #clinical #video
Liver Abscess Aspiration ... Liver #Abscess #Aspiration ... #clinical #video
Body Fluid Aspiration and Interpretation
 - Arthrocentesis
 - Paracentesis
 - Thoracentesis
 - Lumbar Puncture

Dr. Sarah Foohey
Body Fluid Aspiration ... #Body #Fluid #Aspiration
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
remind you of Achalasia ... distinguish it from achalasia ... Chest #XRay #cxr #clinical
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
pathophysiology CLINICAL ... - Beginning of expiration ... - Start of inspiration ... WAVEFORM - Critical ... (phase IV/0) & expiration
Beginner's Guide to End-Tital Capnography
4 Phases of the Capnoqram
I - Inspiration and expiration Of dead space
II
Capnoqram I - Inspiration ... and expiration ... IV - onset of inspiration