Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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
(parietal pleura ... reflection) Pneumonia ... due to thickened pleura ... in severe cases ... #differential #
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... β€’ Idiopathic pulmonary ... Acute, Chronic β€’ Pulmonary ... #diagnosis #differential ... #pulmonary #causes
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
in case of Pneumonia ... Differential Bilat ... : Pulmonary edema ... disease, interstitial ... RJonesSonoEM #BLines
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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea ... - Differential ... Parenchyma: β€’ Pneumonia ... β€’ Interstitial lung ... malformation Pleura
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Pneumonectomy β€’ Trapped lung ... Infectious: β€’ Pneumonia ... Diagnosis #Algorithm #Hepatology
Lung POCUS: Irregular pleural line with patchy B-lines. Seen in viral (including COVID19) and bacterial pneumonia.
Lung POCUS: Irregular ... pleural line with ... and bacterial pneumonia ... #Viral #Pneumonia ... #Lung #POCUS #Pulmonary
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Normal Pleural Lines on Lung Ultrasound
Pleural lines should be sharp and clear, ideally with A-lines showing
Normal Pleural Lines ... Pleural lines ... As lung disease ... #ALines #Lung # ... Ultrasound #POCUS
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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 ... and bacterial pneumonia ... #Viral #Pneumonia ... #Lung #POCUS #Pulmonary
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Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Lung Disease - ... Differential Diagnosis ... leaking out of pulmonary ... #Causes #Differential
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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