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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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Chest X-ray - Lung ... ultrasound (thorough ... - CBC with differential ... as clinically indicated ... , EKG) Dr.
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes β€’ Clinical ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #cardiology #MRI
Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
ECGs - Syncope Syndromes ... mchlwng #Syncope #Syndromes ... #ECG #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
B-Lines in Pulmonary Fibrosis
Lung comets are usually seen in wet lungs, but do not forget that
Lung comets are ... is an important differential ... diagnosis. ... comets #tails #clinical ... #ultrasound #lung
β–Ί
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
diagnosis there ... the surrounding lung ... with end-stage fibrosis ... #Clinical #Diagnosis ... Cyst #Emphysema #Comparison
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
and Causes Clinical ... Endomyocardial Fibrosis ... Hyper-eosinophilc Syndrome ... #Causes #differential ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(2) Sick Sinus Syndrome ... AV block 1ΒΊ - long ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
Differential/diagnosis ... On ultrasound note ... septic emboli in lungs ... #Neck #POCUS #Clinical ... #Ultrasound #Transverse
β–Ί
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
a patient with long ... There is fibrosis ... The differential ... diagnosis includes ... #Clinical #Radiology