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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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... milrinone) for HFrEF ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
alveoli, enlarged heart ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Acute MI, Acute Heart ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
an increase in heart ... redistribution of pulmonary ... that helpful, but comparison ... #Clinical #Radiology ... #Comparison #RadiologyAssistant
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... film (Table). ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... Findings #Signs #RadiologyAssistant
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... with congestive heart ... diameter of the pulmonary ... #Clinical #Radiology ... Engorgement #Thickening #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
Congestive heart ... failure (CHF) is ... can be seen on a chest-film ... #Diagnosis #Radiology ... Findings #Diagram #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Cardiogenic pulmonary ... #Clinical #Radiology ... #HRCT #CTChest ... Reticular #Pattern #Comparison ... #Table #RadiologyAssistant