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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The CT-image shows a large pericardial effusion.
Always compare these post-operative chest films with the pre-operative ones.
large pericardial effusion ... #Clinical #Radiology ... #CTS #CTChest # ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Ultrasound demonstrated ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
POCUS 78 year old ... of chest pain ECG ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Liver function tests ... edema - Large effusion ... #Checklist #CHF ... #HeartFailure #Cardiology
There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The
left ventricle id ... explains why the ultrasound ... #Clinical #Radiology ... #CTS #CTChest # ... PericardialEffusion #RadiologyAssistant
Here another patient who had valve-replacement.
Notice the large heart size.
There is redistribution of the pulmonary vessels
#Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PulmonaryEdema #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... comparison with old ... during a period of CHF ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... had gained 15 kg ... circumferential pericardial effusion ... Echocardiogram #a4c #pocus #clinical ... #cardiology
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