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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
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
A subpulmonic effusion ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #Effusion #Subpulmonic
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
fat pad (sail sign ... An effusion often ... a significant injury ... Injuries #Xrays #Radiology ... peds #Pediatrics #clinical
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... circumferential pericardial effusion ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
indicates joint effusion ... intra-articular injury ... called the “Sail sign ... Elbow #Fracture #trauma ... #clinical #radiology
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
guarding/peritoneal signs ... SIGNS: (alluding ... CULLENS SIGN --> ... GREY TURNER SIGN ... #Injury #clinical
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... position Obstructive lung ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary