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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Lung Empyema on POCUS
When your patient has 3 courses of antibiotics and is not improving you
Lung Empyema on ... Lung U/S shows complex ... #Empyema #POCUS ... #complex #effusion ... #pleural #pulmonary
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Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Malignant Complex ... on Lung POCUS ... Diagnosis? ... U/S could be empyema ... #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 ... Atelectasis β€’ Emphysema ... β€’ Interstitial lung ... Pleura: β€’ Pleural effusion ... #Algorithm #Causes
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
Mycobacterium avium complex ... β€’ Nodular/Masses ... Actinomyces spp., NHL; Lung ... ; empyema, M.tuberculosis ... #differential #diagnosis
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
Pulmonary teaching ... case: you are called ... - What’s the diagnosis ... infected pleural effusion ... #Chest #Lung
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Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Diagnosis Algorithm ... Pneumonectomy β€’ Trapped lung ... #Pulmonary #Diagnosis ... #causes
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... documented to be a complete ... plexus, or sclera), lungs ... pain, pleural effusion ... Nephrocalcinosis causes
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 β€’ Look at the CXR:
injury to the lung ... large injury to lung ... Fr hemothorax/empyema ... ChestTube #Drains #Diagnosis ... #Assessment #Pulmonary
CABG Graft Pseudoaneurysm

Chest pain post CABG - always worth taking a look!  Large graft pseudoaneurysm!!
COPD lungs and bad ... due to COPD and emphysema ... chest showed the diagnosis ... repaired after couple ... Pseudoaneurysm #clinical #pocus
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