Dr. Gerald Diaz @GeraldMD
48.5M 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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Lung Empyema on POCUS
When your patient has 3 courses of antibiotics and is not improving you
POCUS When your ... Lung U/S shows complex ... effusion suspicious ... #POCUS #complex ... #pulmonary #ultrasound
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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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Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
Mycobacterium avium complex ... Parapneumonic effusion ... ; empyema, M.tuberculosis ... Mycobacterium avium complex ... #differential #diagnosis
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... Pulmonary teaching ... - What’s the diagnosis ... infected pleural effusion ... #pulmonary #respiratory
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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Possible small plural effusion ... Possible bilateral effusion ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... Algorithm Cardiac ... Atelectasis β€’ Emphysema ... Pleura: β€’ Pleural effusion ... #Algorithm #Causes
Plankton Sign on POCUS
Complex pleural effusion after CABG - plankton sign 
Plankton sign + , swirling
Plankton Sign on ... POCUS Complex ... pleural effusion ... #POCUS #clinical ... #pulmonary #effusion
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Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
β€’ Conjunctival suffusion ... nausea, vomiting, abdominal ... dysfunction) β€’ Pulmonary ... Biphasic #Phases #Diagnosis ... #Illness #Signs
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
consolidation - Pleural effusion ... patients with pulmonary ... Lung #ultrasound #POCUS ... #Diagnosis #Signs
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
and no apparent focus ... Intense abdominal ... ascites, pleural effusion ... , pericardial effusion ... classification #diagnosis