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There are about a dozen x-ray findings, but two of them are especially important: Loss of
knob/aortic-pulmonary ... and the calcium sign ... is considered a positive ... calcium sign and ... #CXR #ChestXRay
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... venous pressure, positive ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
the chest film (Table ... logical sequence of signs ... chronic obstructive lung ... #CHF #CXR #Stages ... #Findings #Signs
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Features That Differentiate ... Infarction and Pulmonary ... such as MI or aortic ... Pericarditis #Symptoms #Signs ... Presentation #comparison #Table
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
Obstructive lung ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
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 ... #treatment #table ... #heartfailure #chf
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... #Lung #Pulmonary