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

Subcostal window in SLE patient.
pleural effusion ... -chamber POCUS echocardiogram ... pleural effusion ... #POCUS #echocardiogram ... #POCUS #clinical
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Large pleural effusion on POCUS Echocardiogram - Parasternal Long Axis

On parasternal long axis, use the descending
Large pleural effusion ... on POCUS Echocardiogram ... Pleural effusions ... behind the aorta, pericardial ... #PLAX #clinical
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Pleural effusion is seen in:
1. Pulmonary edema
2. Lymphangitic spread of carcinoma - often unilateral
3. Tuberculosis
4. Lymphangiomyomatosis
Pleural effusion ... Pulmonary edema ... Diagnosis #Radiology #Pulmonary ... #Pleural #Effusion ... #Differential #RadiologyAssistant
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
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
Large pleural effusion on Echocardiogram
Does this patient need pericardiocentesis?
In this case, large billateral pleural effusion can
Large pleural effusion ... on Echocardiogram ... confused with pericardial ... #effusion #Echocardiogram ... #clinical #cardiology
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Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Alternans on POCUS Echocardiogram ... - MH/CCF/CWRU ... Alternans #POCUS #Echocardiogram ... #clinical #effusion ... #pericardial
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Large pleural effusion on Echocardiogram
Does this patient need pericardiocentesis?
In this case, large billateral pleural effusion can
Large pleural effusion ... on Echocardiogram ... confused with pericardial ... #effusion #Echocardiogram ... #clinical #cardiology
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Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
- Interstitial edema ... Stage II of CHF ... perpendicular to the pleura ... #Clinical #Radiology ... #RadiologyAssistant