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
The diagnosis based ... edema. ... Clinical #Radiology #CTChest ... SeptalThickening #CHF ... #RadiologyAssistant
Pleural effusion is seen in:
1. Pulmonary edema
2. Lymphangitic spread of carcinoma - often unilateral
3. Tuberculosis
4. Lymphangiomyomatosis
Pleural effusion ... Pulmonary edema ... Asbestosis #Diagnosis ... #Pleural #Effusion ... #Differential #RadiologyAssistant
Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
#Diagnosis #Radiology ... #Pulmonary #CXR ... #Effusion #Hidden ... #Volume #Diagram ... #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
interstitium and the pleural ... edema. ... #Diagnosis #Radiology ... #Findings #Diagram ... #RadiologyAssistant
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... effusion, Pneumonia ... effusion, Pulmonary ... decompensated CHF
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... redistribution of the pulmonary ... Radiology #CXR #CHF ... #Alveolar #Pulmonary ... #RadiologyAssistant
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
edema must be present ... on a chest radiograph ... fully explained by pleural ... effusions, lobar ... Definition #Criteria #Diagnosis
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 β€’ Look at the CXR:
is within the pleura ... transducing the pleural ... edema. ... drainage of an effusion ... ChestTube #Drains #Diagnosis
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
Bilateral pleural ... the differential diagnostic ... Clinical #Radiology #CTChest ... #CHF #KerleyB # ... IntersitialEdema #Septal #RadiologyAssistant
Based on the CXR that you just saw, you could have made the diagnosis of congestive
have made the diagnosis ... The pulmonary vessels ... There is pleural ... Radiology #CXR #CHF ... #RadiologyAssistant