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
A-lines (parietal pleura ... reflection) Pneumonia ... effusion - Reduced ... #differential #diagnosis ... #signs #Lung #POCUS
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
Pulmonary teaching ... was admitted for pneumonia ... - What’s the diagnosis ... effusion where ... Necessitans #EN #Chest #clinical
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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... Algorithm Cardiac ... Parenchyma: β€’ Pneumonia ... Atelectasis β€’ Emphysema ... : β€’ Pleural effusion
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... with "spine sign ... #Clinical #POCUS ... #Lung #Pleural ... #pulmonary
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Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... was admitted for pneumonia ... drain - What’s the diagnosis ... effusion where ... #PhysicalExam #clinical
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Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... effusion. ... #SpineSign #POCUS ... #Clinical #Pleural ... #Effusion #Pulmonary
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
Castleman's disease β€’ Pleural ... effusion: Parapneumonic ... effusion; empyema ... (NHL, primary effusion ... #differential #diagnosis
Empyema on POCUS

89-year-old male with fever and dyspnea. Lung ultrasound reveals what chest x-ray hides -
Empyema on POCUS ... Effusion Dr. ... #Clinical #Pulmonary ... #Loculated #Pleural ... #Effusion
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Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Malignant Complex Pleural ... POCUS You are ... Diagnosis? ... U/S could be empyema ... #POCUS #Pulmonary
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Hematocrit Sign on Lung POCUS
The hematocrit sign refers to the echogenic layering of material in a
material in a pleural ... effusion. ... due to exudative effusions ... #Lung #POCUS #clinical ... #ultrasound #pulmonary