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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Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... condition (left) and during ... a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
edema Stage II of CHF ... as peripheral short ... #Clinical #Radiology ... #CXR #CHF #KerleyB
Normal Hilar Anatomy on Chest X-Ray
The hilum is 95% vessels and while it is not important
possible to be able ... branches and the pulmonary ... intermedius LPA - left Pulmonary ... #Chest #XRay #CXR ... #clinical #radiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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increased blood volume during ... of right-sided HF ... #physicalexam #clinical ... #video #jvp #cardiology
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Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.
Patient with severe pulmonary ... Hussain Ch @Hussainch ... #PhysicalExam #Cardiology ... #Clinical #Video
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Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
crystalline silica during ... occupational exposure during ... Fibrosis #Silicosis #clinical ... #radiology #CXR ... XRay #labeled #pulmonary
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
distribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... occur at any time during ... There are case reports ... #Clinical #Diagnosis ... #Radiology #Honc
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... more prominent during ... #PhysicalExam #Clinical ... #Video #Cardiology
β–Ί
On the left another patient with congestive heart failure.
The lateral view nicely demonstrates the increased diameter
diameter of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Peribronchial