Dr. Gerald Diaz @GeraldMD
23.5M 13.8K 7.2K
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
(parietal pleura ... reflection) Pneumonia ... effusion - Reduced ... Possible bilateral effusion ... submassive PE) POCUS
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
pleural line & ... basal b-lines (plaps ... Thickening #COVID19 #clinical ... lung #ultrasound #pulmonary ... #BLines #POCUS
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A-Lines vs B-Lines on Lung POCUS
A-Lines:
 β€’ Predominately horizontal lines
 β€’ A-lines are repeated horizontal &
edema, ARDS, pneumonia ... @MCW_EM_US #ALines ... #BLines #Lung # ... POCUS #pulmonary ... #clinical #comparison
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Lung POCUS: Irregular pleural line with patchy B-lines. Seen in viral (including COVID19) and bacterial pneumonia.
pleural line with ... patchy B-lines. ... RJonesSonoEM #BLines ... #Lung #POCUS #Pulmonary ... #Ultrasound #Clinical
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Lung POCUS: Irregular, thickened pleural line with diffuse B-lines and subpleural consolidation.  Seen in viral
, thickened pleural ... line with diffuse ... B-lines and subpleural ... RJonesSonoEM #BLines ... #Lung #POCUS #Pulmonary
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Normal Pleural Lines on Lung Ultrasound
Pleural lines should be sharp and clear, ideally with A-lines showing
Normal Pleural Lines ... lines should be ... #ALines #Lung # ... Ultrasound #POCUS ... #Clinical #Pulmonary
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Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines ... /lung sliding: Pulmonary ... partially seen shred sign ... RJonesSonoEM #BLines ... #Lung #POCUS #clinical
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COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
line - B lines ... effusion is rare ... patients with pulmonary ... Lung #ultrasound #POCUS ... #Diagnosis #Signs
Lung ultrasound pathology in a COVID-19 positive patient
 - Few B-lines (vertical white lines)
 - Confluent
patient - Few B-lines ... vertical white lines ... - Confluent B-lines ... Effusions Vi ... #Clinical #Lung
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Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
symptoms β€’ B-lines ... , Pleural line - ... superimposed bacterial pneumonia ... Large pleural effusion ... areas #COVID19 #POCUS