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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Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... in COVID19 The ... lung disease are ... #management #schema ... hypoxia #failure #algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... Chest X-ray - Lung ... Nasopharyngeal PCR for COVID ... diagnostics as clinically ... #algorithm #schema
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... Society of Critical ... #management #schema ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... patients with COVID ... Internet Book of Critical ... #management #schema ... hypoxia #failure #algorithm
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
There is a lung ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Next Steps: BS, CXR ... DDx: Obstructive lung ... hyperinflation, Ischemia ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Interventional bronchoscopic and surgical treatments for chronic obstructive pulmonary disease (COPD). Overview of various therapies used
chronic obstructive pulmonary ... are approved for clinical ... comparison to lung ... #Management #AdvancedCOPD ... VolumeReduction #Bullectomy #Algorithm
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... , inflammatory lung ... leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... In daily clinical ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... Pulmonary hemorrhage ... nodular interstitial lung ... #Radiology #CXR ... Consolidation #Causes #RadiologyAssistant