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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On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... edema. ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... β€’ Obstructive: Pulmonary ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
generate larger VT ... In CHF, decreases ... exacerbation (cardiogenic pulmonary ... edema) β€’ COPD ... #indications #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
edema - Large ... edema in hypotensive ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
edema: cardiac, ... edema (6): - Normal ... #Clinical #Radiology ... #CXR #CHF #Vascular ... VascularPedicleWidth #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... redistribution of pulmonary ... , interstitial edema ... #Clinical #Radiology ... #Comparison #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
#Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary ... #Edema #AlveolarEdema ... Gravity #Dependent #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... edema. ... pressure resulting in edema ... #Diagnosis #Radiology ... Findings #Diagram #RadiologyAssistant
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
are dealing with pulmonary ... edema due to heart ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant