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Subpulmonic Effusion Explained - Rock of Gibraltar sign

Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8

#Subpulmonic #Effusion #pathophysiology #clinical #pulmonary
Subpulmonic Effusion ... Rock of Gibraltar sign ... #Effusion #pathophysiology ... clinical #pulmonary #radiology ... #CXR
Luftsichel Sign in Left Upper Lobe Collapse - Chest X-Ray

An upper lobe collapse causes the collapse
Luftsichel Sign ... causes the collapse ... #Luftsichel #Sign ... #clinical #radiology ... #Chest #XRay #CXR
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
A subpulmonic effusion ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
blood donor • Pathophysiology ... : Age>60, CKD, CHF ... transfusion • Pathophysiology ... fluid balance, and CXR ... Transfusion #Reactions #hematology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... diagnosis #management #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... , dyspnea, +/- CXR ... WBC >100k, + lab signs ... Lysis Syndrome: • Pathophysiology ... diagnosis #management #hematology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
ATRA treatment Pathophysiology ... 5 or elevated Cr ... common • Imaging: CXR ... sepsis), PE, DAH, CHF ... diagnosis #management #hematology
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
There is an atelectasis of the left upper lobe.
You would not expect the apical region to
the luft sichel sign ... #Clinical #Radiology ... #CXR #Lateral # ... LUL #Lobar #Collapse ... #Luftsichel #Sign
Right middle lobe atelectasis
First study the x-rays and then continue reading.
What are the findings?
Blurring of the
border (silhouette sign ... as a result of collapse ... #Clinical #Radiology ... #CXR #Lateral # ... MiddleLobe #Lobar #Collapse