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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Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
gas equation β€’ Causes ... : Interstitial lung ... β€’ Most common cause ... ventilation (V) in the lungs ... bypassing the lungs
Plankton Sign on Lung POCUS

Plankton sign = floating debris --> the swirling, punctiform internal echoes within
Plankton Sign on Lung ... POCUS Plankton ... nature of the effusion ... Plankton #Sign #Lung ... #POCUS #clinical
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Shark Tail Appearance of Consolidated Lung on Pleural Effusion on POCUS

Dr. David Feller-Kopman @dfellerk

#Pleural #Effusion #pulmonary
of Consolidated Lung ... on Pleural Effusion ... on POCUS Dr. ... #pulmonary #Lung ... #POCUS #clinical
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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Possible small plural effusion ... pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #POCUS #ultrasound
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... transducer on lung ... Care Ultrasound (POCUS ... Sign #Clinical #POCUS ... #Lung #Pleural
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Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
indicative of pleural effusion ... absence of pleural effusion ... by air in the lung ... #SpineSign #POCUS ... #Pulmonary #Lung
Hydropneumothorax on Lung POCUS

HIV/AID(CD4<250) with cough, dyspnea.Left lung anterior mid. Left lung. Findings consistent with PNA.
POCUS HIV/AID ... Left lung. ... Has pleural effusion ... hydropneumothorax #effusion ... #bubbles #POCUS
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Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Pneumonectomy β€’ Trapped lung ... #Hepatology #causes
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 ... Dz, Malignant effusion ... #Differential #Algorithm
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... Bird fanciers' lung ... ILD caused by inhalation ... (coal workers' lung ... differential #pulmonary #causes