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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COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... POCUS - Day 2 ... bilateral pleural effusion ... #ultrasound #pulmonary ... #Effusion
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Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
Main Lung Ultrasound ... differences between COVID ... superimposed bacterial pneumonia ... deaerated areas #COVID19 ... #POCUS #Lung #Ultrasound
One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
One-page resource for Lung ... POCUS in COVID19 ... CT - pleural effusions ... #POCUS #COVID19 ... #coronavirus #pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
: Interstitial lung ... ventilation (V) in the lungs ... : Pneumonia, asthma ... , COPD, pulmonary ... bypassing the lungs
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura reflection) Pneumonia ... pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #POCUS #ultrasound
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Lymphangioleiomyomatosis (LAM), β€’ Pulmonary ... leaking out of pulmonary ... Amy Chung, MD, MSc ... Diseases #ILD #Causes
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 ... Malignancy β€’ Pulmonary
Lung POCUS: Small right anechoic parapneumonic effusion. Note B-lines. Curvilinear probe used. More commonly seen in
Lung POCUS: Small ... parapneumonic effusion ... seen in bacterial pneumonia ... prelim reports of COVID19 ... #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 ... Parenchyma: β€’ Pneumonia ... β€’ Interstitial lung ... Pleura: β€’ Pleural effusion ... Diagnosis #Algorithm #Causes
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
complex β€’ Nodular/Masses ... Actinomyces spp., NHL; Lung ... disease β€’ Pleural effusion ... Parapneumonic effusion ... (NHL, primary effusion