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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Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
: Interstitial lung ... diseases, pulmonary ... ventilation (V) in the lungs ... asthma, COPD, pulmonary ... bypassing the lungs
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the chest the lung ... pericardial fat or effusion ... This causes a density ... Clinical #Radiology #CXR ... Cardiac #Incisura #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... consolidation is pulmonary ... from the various causes ... #CXR #Diffuse # ... #Differential #RadiologyAssistant
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Possible small plural effusion ... pleura in severe cases ... Possible bilateral effusion ... sliding Pulmonary
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... non-perfused vessels and causes ... Clinical #Radiology #CXR ... Redistribution #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... bubble and the lung ... bubble to the lung ... Clinical #Radiology #CXR ... SubpulmonicEffusion #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... to a pneumonia caused ... Clinical #Radiology #CXR ... SilhouetteSign #RadiologyAssistant
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Pneumonectomy β€’ Trapped lung ... Malignancy β€’ Pulmonary ... #Pulmonary #Diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea ... Pneumonia β€’ Pulmonary ... β€’ Interstitial lung ... Pleura: β€’ Pleural effusion ... Diagnosis #Algorithm #Causes
Mediastinal Widening - Differential Diagnosis

 β€’ Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
anourysm, Enlarged pulmonary ... duplicated SVC) β€’ Pulmonary ... Nodule / mass β€’ Masses ... Pneumomediastinum, Pericardial effusion ... β€’ CXR rotation