16 results
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
Ascites, pericardial effusion ... and left pleural effusion ... Labeled Schematic ... POCUS #clinical #ultrasound ... #cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... A subpulmonic effusion ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
or bolus infusion ... blood pressure; HF ... Diuretic #Diuresis #CHF ... #HeartFailure #Cardiology ... #Management
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
bilateral pleural effusions ... → no signs of CXR ... heartfailure #diagnosis #management ... #cardiology #pharmacology ... #sCHF
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... edema - Large effusion ... (no B-lines on ultrasound ... #Checklist #CHF ... #Management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
5 or elevated Cr ... HoTN, edema and effusions ... common • Imaging: CXR ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... injury • ED Management ... repair MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... indicated, start CPR ... • Call for ultrasound ... Plan definitive management ... Checklist #Diagnosis #Management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... Adequate perfusion ... differential #algorithm #management ... #cardiology #treatment ... #heartfailure #chf