Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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.
Ascites, pericardial ... pleural effusion ... -chamber POCUS echocardiogram ... pleural effusion ... #POCUS #echocardiogram
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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 ... #Echocardiogram
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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
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 ... large billateral pleural ... confused with pericardial ... #effusion #Echocardiogram
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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 ... large billateral pleural ... confused with pericardial ... #effusion #Echocardiogram
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Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Evaluation of Pulmonary ... β€’ Evaluate for pericardial ... effusion β€’ Evaluate ... Shah @HFpEF #Pulmonary ... diagnosis #cardiology #echocardiogram
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:
 β€’ 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