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Macular Hole  - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Macular #Hole #Retina #Ocular #PhysicalExam #clinical
Macular Hole - ... Slit Lamp Ocular ... @oftalmopo #Macular ... #Hole #Retina #Ocular ... #PhysicalExam #clinical
Here another patient with free abdominal air.
Notice the very thin regular line which is the diaphragm
line which is the diaphragm ... #Clinical #Radiology ... #CXR #Free #Air ... #FreeAir #Diaphragm
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
contour of the diaphragm ... proximity to the diaphragm ... position of the diaphragm ... #Clinical #Radiology ... #CXR #CHF #Pleural
The contours of the left and right diaphragm should be visible.
The right diaphragm should be visible
left and right diaphragm ... The right diaphragm ... The left diaphragm ... #Clinical #Anatomy ... #Radiology #CXR
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
causes the flaccid diaphragm ... Respirations #Breathing #Diaphragm ... #Clinical #Video
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
cavity above the diaphragm ... cut off at the diaphragm ... SpineSign #POCUS #Clinical
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
morphology Gas under diaphragm ... #Chest #XRay #CXR
Hoover's sign on Physical Exam
Paradoxical retraction of the lower intercostal spaces on inspiration
Pulmonary hyperinflation → flattening
flattening of the diaphragm ... the flattened diaphragm ... #PhysicalExam #Clinical
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
but functioning, diaphragm ... resulting flattened diaphragm ... PhysicalExam #Video #Clinical
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
rupture Disrupted diaphragm ... air under the diaphragm ... abdominal viscus #cxr