The bulging fissure sign refers to exudative lobar consolidation that rapidly expands the affected lobe, causing displacement of the adjacent fissure. It has been classically described in right upper lobe consolidation secondary to Klebsiella pneumoniae
CORRECT ME IF I'M WRONG BUT, As I turn 43 this year, I have realised, as a man, no one cares about you. Not your wife. Not your family. Not your friends. Not your workmates. Nobody. People act like they care, but deep down, they don't. You are on your own. Always on your own.
DKA management looks peaceful on paper:
💧 Start fluids.
💉 Start insulin.
🧪 Monitor electrolytes.
🩸 Check glucose and ketones.
🔍 Find the trigger.
Then potassium enters the chat:
“Before you start that insulin… WHAT’S MY K⁺?” 😭😂
DKA said: “You thought I was just high sugar?” 💀🩺