Dr. Gerald Diaz @GeraldMD
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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
sliding/barcode sign ... Consolidations - "Shred" sign ... submassive PE) POCUS ... #differential # ... diagnosis #signs
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
β–Ί
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... hepatitis β€’ Pulmonary ... : pleural effusion ... β€’ Ocular: uveitis ... #treatment #rheumatology
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Rheumatoid Nodules, Pulmonary ... Disease and ILD ... Arthritis #RA #diagnosis ... #rheumatology # ... signs #symptoms
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
β€’ Evaluate for signs ... for pericardial effusion ... PH (left heart disease ... shunt lesions) β€’ Differentiate ... Echocardiography #diagnosis
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
avium complex β€’ Nodular ... β€’ Pleural effusion ... #diseases #differential ... #diagnosis #chestCT ... #radiology
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Echocardiographic Signs ... Pulmonary embolism ... Echocardiographic Signs ... Echocardiographic Signs ... Echocardiographic Signs
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
cardiogenic edema, to differentiate ... Look for other signs ... chronic heart disease ... #Diagnosis #Radiology ... Consolidation #Differential
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
brief interval symptom ... β€’ Conjunctival suffusion ... dysfunction) β€’ Pulmonary ... Biphasic #Phases #Diagnosis ... #Illness #Signs
Systemic Lupus Erythematosus - Diagnosis
Manifestations:
 - Arthritis 69%
 - Malar rash 40%
 - Fever 36%
 -
(aPL) 30-45% Differential ... autoantibodies #signs ... #symptoms #mimickers ... #differential # ... rheumatology