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
pleura reflection) Pneumonia ... cases - Dynamic air ... Edema: - Widespread ... submassive PE) POCUS ... #Lung #POCUS #ultrasound
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... is obscured by air ... #SpineSign #POCUS ... #Clinical #Pleural ... #Effusion #Pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
on Lung POCUS ... POCUS lung exam ... sliding: Pulmonary ... partially seen shred sign ... #Lung #POCUS #clinical
β–Ί
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
(alveolar edema ... space (pleural effusion ... The following signs ... #Clinical #Radiology ... #Pulmonary #Edema
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
edema; ARDS, Metastatic ... alveolar proteinosis ... Actinomyces spp., NHL; Lung ... Parapneumonic effusion ... diagnosis #chestCT #radiology
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
(assumes Room Air ... Atelectasis, ARDS, Pneumonia ... Edema, Atelectasis ... , Obstructive Lung ... , Interstitial Lung
Based on the images alone, it is usually not possible to determine the cause of the
Lobar pneumonia ... edema - filling ... of the alveoli ... nodular interstitial lung ... #Radiology #CXR
Crazy Paving is a combination of ground glass opacity with superimposed septal thickening (5).
It was first
NSIP - Organizing pneumonia ... Bronchoalveolarca (BAC) - Pulmonary ... hemorrhage - Edema ... failure, ARDS, AIP ... ) #Clinical #Radiology
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
pathophysiology CLINICAL ... β€’ Monitoring cardiac ... PHASE Ill - Alveolar ... the heart to the lung ... oscillations - Sign
CT and ultrasonographic features of COVID-19 pneumonia
Lung CT:
 - Thickened pleura
 - Ground glass shadow and
features of COVID-19 pneumonia ... - Pulmonary infiltrating ... mild infection; alveolar ... ChestCT #Ultrasound #POCUS ... #features #Radiology