Dr. Gerald Diaz @GeraldMD
23.4M 13.8K 7.2K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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
(parietal pleura ... reflection) Pneumonia ... due to thickened pleura ... in severe cases ... #differential #
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
in case of Pneumonia ... on Lung POCUS ... POCUS lung exam ... Differential Bilat ... : Pulmonary edema
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COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... POCUS - Day 2 ... COVID19 #clinical #lung ... #ultrasound #pulmonary ... #BLines #POCUS
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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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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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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... - Differential ... Parenchyma: • Pneumonia ... • Interstitial lung ... malformation Pleura
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Effusion - Differential ... Pneumonectomy • Trapped lung ... Infectious: • Pneumonia ... Diagnosis #Algorithm #Hepatology
Normal Pleural Lines on Lung Ultrasound
Pleural lines should be sharp and clear, ideally with A-lines showing
Normal Pleural Lines ... Pleural lines ... #ALines #Lung # ... Ultrasound #POCUS ... #Clinical #Pulmonary
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Lung POCUS: Irregular pleural line with B-lines.  Subpleural consolidation better seen with linear probe.

Dr. Robert
Lung POCUS: Irregular ... pleural line with ... #Irregular #Pleural ... Pneumonia #Lung ... #POCUS #Pulmonary
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A-Lines vs B-Lines on Lung POCUS
A-Lines:
 • Predominately horizontal lines
 • A-lines are repeated horizontal &
on Lung POCUS ... from the pleura ... edema, ARDS, pneumonia ... #BLines #Lung # ... POCUS #pulmonary
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