Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Apical approach had best ... In-plane off lateral ... Echocardiogram #A4c ... #clinical #cardiology ... #effusion #pericardial
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Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... anteroinferior side on the lateral ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... On a lateral image ... evident on the lateral ... #Clinical #Radiology ... PleuralEffusion #RadiologyAssistant
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
- Differential Diagnosis ... abdominal CT, Bilateral ... selective renal intra-arterial ... ) or IV saline infusion ... #Differential #Diagnosis
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
canoeing, kayaking, trail ... : conjunctival suffusion ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... agglutination - test
The location of the cardiac valves is best determined on the lateral radiograph.
A line is drawn
cardiac valves is best ... enlargement of the left atrium ... #Clinical #Diagnosis ... #Radiology #CXR ... #Mitral #MVR #RadiologyAssistant
Pleural fluid may become encysted.
Here we see fluid entrapped within the fissure.
This can sometimes give the
#Clinical #Radiology ... #CXR #Lateral # ... Effusion #Fissure ... #Pseudotumor #RadiologyAssistant
Left Atrial Myxoma on POCUS Echocardiogram - A4C view
Adult female having fatigue/DOE. Attributes to deconditioning. Starts
Left Atrial Myxoma ... Echocardiogram - A4C ... Final diagnosis-left ... Echocardiogram #clinical ... #cardiology #A4C
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It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
the differential diagnosis ... proteinaceous material ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Diagnosis? ... Echocardiogram #S4C ... #clinical #cardiology ... #Pericardial #Effusion
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