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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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural ... 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 ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Ultrasound demonstrated ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
visible on an CXR ... #Diagnosis #Radiology ... #Pulmonary #CXR ... PleuralEffusion #Pleural #Effusion ... Volume #Diagram #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
arrest with ongoing CPR ... volume to restore perfusion ... currently experiencing signs ... Classification #ABCDEs #diagnosis ... #cardiology