Dr. Gerald Diaz @GeraldMD
23.4M 13.8K 7.2K
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
reflection) Pneumonia ... effusion - Reduced ... to thickened pleura ... #differential # ... #POCUS #ultrasound
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
effusion, thickened ... pleural line & ... #ultrasound #pulmonary ... #BLines #POCUS ... #Effusion
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Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
Main Lung Ultrasound ... , Pleural line - ... superimposed bacterial pneumonia ... Large pleural effusion ... areas #COVID19 #POCUS
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Effusion - Differential ... Pneumonectomy β€’ Trapped lung ... Infectious: β€’ Pneumonia ... #Effusion #Pulmonary ... #Hepatology #causes
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea - Differential ... Diagnosis Algorithm ... Parenchyma: β€’ Pneumonia ... β€’ Interstitial lung ... : β€’ Pleural effusion
Lung POCUS: Irregular pleural line with patchy B-lines. Seen in viral (including COVID19) and bacterial pneumonia.
Lung POCUS: Irregular ... pleural line with ... RJonesSonoEM #BLines ... #Viral #Pneumonia ... #Lung #POCUS #Pulmonary
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Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
on Lung POCUS ... POCUS lung exam ... Differential Bilat ... : Pulmonary edema ... Lung POCUS shows
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Lung POCUS: Irregular, thickened pleural line with diffuse B-lines and subpleural consolidation.  Seen in viral
Lung POCUS: Irregular ... , thickened pleural ... RJonesSonoEM #BLines ... #Viral #Pneumonia ... #Lung #POCUS #Pulmonary
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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 ... GrauSegura #COVID19 #Lung ... #ultrasound #POCUS
One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
POCUS in COVID19 ... lesions on CT - pleural ... effusions uncommon ... sick but no B-lines ... #coronavirus #pulmonary