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 ... in severe cases ... #differential # ... diagnosis #signs ... #Lung #POCUS #ultrasound
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... 2 after COVID diagnosis ... COVID19 #clinical #lung ... #ultrasound #pulmonary ... #BLines #POCUS
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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 ... NOT definitively diagnose ... RJonesSonoEM #BLines
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One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
POCUS in COVID19 ... lesions on CT - pleural ... sick but no B-lines ... #coronavirus #pulmonary ... #ultrasound #diagnosis
COVID19 vs CHF on POCUS

Spot the difference. 2 pts presenting with nearly same symptoms. Left COVID
COVID19 vs CHF on POCUS ... Left COVID pneumonia ... due to other causes ... #Clinical #Lung ... Ultrasound #SARSCoV2 #Coronavirus
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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:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea ... - Differential ... Diagnosis Algorithm ... Parenchyma: β€’ Pneumonia ... β€’ Interstitial lung
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 ... #Hepatology #causes
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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