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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COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
diagnosis. ... bilateral pleural effusion ... #clinical #lung ... #ultrasound #pulmonary ... #Effusion
β–Ί
One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
resource for Lung POCUS ... in COVID19: - ... CT - pleural effusions ... #pulmonary #ultrasound ... #diagnosis
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
COVID-19 POCUS ... CXR with consolidation ... and likely effusion ... likely exposure to COVID19 ... #POCUS #Clinical
β–Ί
Mediastinal Widening - Differential Diagnosis

 β€’ Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
- Differential Diagnosis ... Nodule / mass β€’ Masses ... Pneumomediastinum, Pericardial effusion ... β€’ CXR rotation ... #Differential #Diagnosis
Extrapulmonary manifestations of COVID-19
 β€’ Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-BarrΓ©, Ageusia, Myalgia, Anosmia, Stroke
 β€’ Renal:
manifestations of COVID ... vein thrombosis, Pulmonary ... ischemia, Acute cor ... pulmonale β€’ Endocrine ... Extrapulmonary #Diagnosis
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... consolidation - Pleural effusion ... patients with pulmonary ... Lung #ultrasound #POCUS ... #Diagnosis #Signs
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
31 β€’ First US case ... emergency 2020-3-12 Diagnosis ... symptoms Imaging β€’ CXR ... unilateral* β€’ POCUS ... #Cheatsheet #Diagnosis
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... and other non-pulmonary ... Pulmonary hemorrhage ... #Clinical #Diagnosis ... #Radiology #CXR