Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... Tracheal #Descent #COPD ... #physicalexam #pulmonary
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... clinical #video #pulmonary ... #COPD #respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... #respiratory #pulmonary ... breathing #Trachea #COPD
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
carcinoid, Mets), COPD ... Differential #Diagnosis #pulmonary
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Classically” noted with pulmonary ... lung disease (COPD
Vocal Cord Paralysis on Bronchoscopy
Bronchogenic carcinoma sometimes presents dysphonia as the first symptom. This patient complained
Vocal Cord Paralysis ... Note the vocal cord ... doencasdotorax #Vocal #Cord ... clinical #video #pulmonary
Opportunistic Infections in HIV/AIDS
Here's a little symptom-based guide to OIs in pts with HIV I made
Hemoptysis - Pulmonary ... Tenesmus - Spinal Cord
Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Disease: Asthma, COPD
POCUS Findings in Acute Pulmonary Embolism
- McConnell's Sign
- TAPSE
- D-Shaped Septum
- Abnormal RV:LV Ratio

#Pulmonary #Embolism #AcutePE
Findings in Acute Pulmonary ... RV:LV Ratio #Pulmonary
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... decompensated Pulmonary ... @ucsdim #PA #Pulmonary