Dr. Gerald Diaz @GeraldMD
39.5M 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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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 ... Clinical #POCUS #Lung ... #Pleural #Effusion
β–Ί
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... Possible small plural effusion ... Possible bilateral effusion ... #pulmonary #differential ... #Lung #POCUS #ultrasound
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Algorithm and Differential ... blood count with differential ... clinical context and signs ... imaging #Acute #Kidney
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... absence of pleural effusion ... by air in the lung ... #Pulmonary #Lung ... #Ultrasound
Hemothorax - Thoracic ultrasound in trauma
False positive for consolidated lung- organized clot in pleural space after
Hemothorax - Thoracic ultrasound ... for consolidated lung ... Sub-diaphragmatic (Spleen and kidney ... Hemothorax #Thoracic #ultrasound ... trauma #pulmonary #effusion
β–Ί
Urine Specific Gravity - Interpretation
Specific Gravity = Density of urine / Density of water
SG close to
Urine Specific Gravity ... Gravity = Density of urine ... 1.010: β€’ Advanced kidney ... Interpretation #diagnosis #differential ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Kidney ... Cl- outside the kidneys ... high in kidney ... #Algorithm #nephrology ... #differential #
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Totally scuppers the kidney's ... diagnosis with direct urine ... Failure to acidify urine ... Diagnosis #Management #Nephrology ... #Causes #Differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... respiratory drive due to neurologic ... : Interstitial lung ... bypassing the lungs ... Failure #hypoxia #Differential
Hematocrit Sign on Lung POCUS
The hematocrit sign refers to the echogenic layering of material in a
on Lung POCUS The ... material in a pleural effusion ... due to exudative effusions ... #Lung #POCUS #clinical ... #ultrasound #pulmonary