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 &
COVID-19 on Lung ... 2 after COVID diagnosis ... pleural line & ... #ultrasound #pulmonary ... #BLines #POCUS
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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
(parietal pleura ... effusion - Reduced ... #differential # ... diagnosis #signs ... #Lung #POCUS #ultrasound
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
, Pleural line - ... Large pleural effusion ... areas #COVID19 #POCUS ... #Comparison #Table ... #Diagnosis
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Edema: β€’ Smooth pleural ... 3 B-lines/ lung ... line + sub-pleural ... #edema #comparison ... #clinical #diagnosis
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COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
19 Findings on Lung ... effusion is rare ... patients with pulmonary ... #ultrasound #POCUS ... #Diagnosis #Signs
One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
lesions on CT - pleural ... effusions uncommon ... sick but no B-lines ... #coronavirus #pulmonary ... #ultrasound #diagnosis
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
Point on POCUS ... to pleural line ... lungdiaphragam #ultrasound #pulmonary ... #differential # ... diagnosis #mimics
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Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Pneumonectomy β€’ Trapped lung ... #Effusion #Pulmonary ... #Hepatology #causes
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 β€’ Predominately horizontal lines
 β€’ A-lines are repeated horizontal &
on Lung POCUS ... from the pleura ... #BLines #Lung # ... POCUS #pulmonary ... #clinical #comparison
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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea - Differential ... Diagnosis Algorithm ... β€’ Interstitial lung ... malformation Pleura ... : β€’ Pleural effusion