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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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... anteriorly in the left lung ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia
Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c)
RA collapse= earliest sign. RV collapse =
Pericardial effusion ... ) RA collapse= ... RV collapse = most ... tamponade #POCUS #clinical ... echocardiogram #cardiology
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Luftsichel Sign in Left Upper Lobe Collapse - Chest X-Ray

An upper lobe collapse causes the collapse
Luftsichel Sign ... lung segments to ... #Luftsichel #Sign ... #clinical #radiology ... #Chest #XRay #CXR
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
example of 'shred sign ... on CXR/CT imaging ... #pneumonia #clinical ... #photo #ultrasound ... #lung #pulmonary
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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
bubble and the lung ... a patient with signs ... bubble to the lung ... #Clinical #Radiology ... #CXR #CHF #Pleural
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension Signs ... PMC5466174/ - VCU Ultrasound ... ) #Clinical #POCUS ... #Cardiology #Echocardiogram ... #A4C #Cardiac #
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These images are of a patient who had widespread bronchopneumonia and was on ventilation.
During follow up
plug the left lung ... was re-aerated #Clinical ... #Radiology #CXR ... #Total #Lung #Collapse ... #Pneumonia #MucousPlugging
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... circumferential pericardial effusion ... Echocardiogram #a4c ... #cardiology
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Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... BUN/Cr- 128/9.4. ... Note RA collapse ... Echocardiogram #A4C ... #clinical #cardiology
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Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
in Anaesthesia Signs ... Cardiovascular collapse ... inform immediate clinical ... ensure adequate lung ... Start continuous CPR