Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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.
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Diseases of the lung ... Hepatopulmonary #Syndrome ... #HPS #hepatology
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Lung Ultrasound: ... AIS > 3 B-lines/ lung ... pulmonary #edema #comparison ... #clinical #diagnosis ... #ultrasound
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Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Pleural Effusion - Differential ... Diagnosis Algorithm ... Pneumonectomy β€’ Trapped lung ... Effusion #Pulmonary #Diagnosis ... #Algorithm #Hepatology
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
highlight selected differentials ... LungPoint #POCUS #clinical ... lungdiaphragam #ultrasound ... #pulmonary #differential ... #diagnosis #mimics
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Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... - Cirrhosis Syndrome ... carcinoma of the lung ... #Diagnosis #Table
Acquired von Willebrand Syndrome - Diagnosis and Management
 β€’ Autoantibodies to vWF: Lymphoproliferative disorders (e.g. lymphoma,
von Willebrand Syndrome ... - Diagnosis and ... vonWillebrand #Syndrome ... #treatment #hematology ... #differential
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
Causes of Thrombocytosis - Differential Diagnosis
Secondary Thrombocytosis (a.k.a Reactive Thrombocytosis):
 β€’ Acute infection
 β€’ Solid organ
Thrombocytosis - Differential ... Diagnosis Secondary ... inflammatory disorders (e.g ... Myelodysplastic syndrome ... #hematology #secondary
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 ... #Myocarditis #differential