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
Malignant Complex ... Pleural Effusion ... on Lung POCUS ... pleural effusion ... #Effusion #Lung
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Complex Pleural Effusion caused by Esophageal Perforation
So much pathology for one lung. Esophageal perforation leading to
Effusion caused ... to complex effusion ... Complex effusion ... #Pleural #Effusion ... #pocus #clinical
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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
Lung Empyema on POCUS
When your patient has 3 courses of antibiotics and is not improving you
POCUS When your ... patient has 3 courses ... Lung U/S shows complex ... effusion suspicious ... #complex #effusion
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Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
documented to be a complete ... ear (unexplained effusions ... plexus, or sclera), lungs ... pain, pleural effusion ... Nephrocalcinosis causes
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