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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Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Pleural Effusion ... on Lung POCUS ... pleural effusion ... effusion. ... #Lung #POCUS #Pulmonary
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Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Autoimmune Vasculitis, ILD ... Malignancy: Lung ... Metastatic Dz, Malignant ... effusion Other ... #Differential #Algorithm
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Pneumonectomy β€’ Trapped lung ... Noninfectious: β€’ Malignancy ... 2LmUODZ #Pleural #Effusion
Management of patients with known or suspected malignant pleural effusion (MPE) - An Official ATS/STS/STR Clinical
known or suspected malignant ... pleural effusion ... goals of assessing lung ... #Effusions #MPE ... #Algorithm #Management
Complex Pleural Effusion caused by Esophageal Perforation
So much pathology for one lung. Esophageal perforation leading to
Complex Pleural Effusion ... caused by Esophageal ... to complex effusion ... Complex effusion ... #pocus #clinical
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Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... Treat underlying cause ... Hypercalcemia of malignancy ... , SOB, pleural effusions