Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... Radiology #CXR #CHF ... #Pleural #Effusion ... SubpulmonicEffusion #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 ... If pleural effusion ... #Pleural #Effusion ... PleuralEffusion #RadiologyAssistant
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
attack, ILD flare, Pleural ... effusion, Pneumonia ... Sarcoid, Tumor, Pleural ... effusion, Pulmonary ... decompensated CHF
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
Solitary Pulmonary Nodule
Click here for more detailed information about Solitary Pulmonary Nodule
A solitary pulmonary nodule or
Solitary Pulmonary ... about Solitary Pulmonary ... atelectasis or pleural ... effusion. ... #Differential #RadiologyAssistant
Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
Pleural fluid It ... About 5 liters of pleural ... Diagnosis #Radiology #Pulmonary ... #Effusion #Hidden ... Volume #Diagram #RadiologyAssistant
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
hepatitis • Pulmonary ... : pleural effusion ... Disease #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... edema - Large effusion ... nitroglycerine infusion ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Blastomycosis (Blastomyces): Gilchrist’s disease, Chicago disease - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode
patterns, small pleural ... effusions) ... - Chronic pulmonary ... Diagnosis • Management ... Blastomyces #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Although pulmonary ... o infection • Echocardiogram ... LVEF, pericardial effusion ... differential #diagnosis #management