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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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... A-lines (parietal pleura ... submassive PE) POCUS ... #differential # ... #Lung #POCUS #ultrasound
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... with "spine sign ... transducer on lung ... #Lung #Pleural ... Effusion #ultrasound #pulmonary
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Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... by air in the lung ... #SpineSign #POCUS ... #Effusion #Pulmonary ... #Lung #Ultrasound
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 ... False #LungPoint #POCUS ... lungdiaphragam #ultrasound #pulmonary ... #differential #
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Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine ... Sign GSW to ... with large sub-pleural ... #POCUS #Spine # ... ultrasound #Pulmonary
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Hepatopulmonary Syndrome (HPS) 

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

HPS-diagnosis:
1. Patients
(HPS) HPS-differential ... Pulmonary vasculature ... Diseases of the lung ... Pleura and diaphragm ... Syndrome #HPS #hepatology
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 ... Diagnosis #Algorithm #Hepatology
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
19 Findings on Lung ... patients with pulmonary ... GrauSegura #COVID19 #Lung ... #ultrasound #POCUS ... #Diagnosis #Signs
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison