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
(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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COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
2 after COVID diagnosis ... pleural line & ... Thickening #COVID19 #clinical ... lung #ultrasound #pulmonary ... #BLines #POCUS
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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
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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COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
- Thickened pleural ... effusion is rare ... patients with pulmonary ... Lung #ultrasound #POCUS ... #Diagnosis #Signs
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
/lung sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose ... RJonesSonoEM #BLines ... #Lung #POCUS #clinical
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False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
Lung-Cardiac Point ... line "interruption ... #clinical #lungcardiac ... lungdiaphragam #ultrasound #pulmonary ... #differential #diagnosis
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Lung POCUS: Small right anechoic parapneumonic effusion. Note B-lines. Curvilinear probe used. More commonly seen in
Note B-lines. ... seen in bacterial pneumonia ... Parapneumonic #Pleural ... #POCUS #Pulmonary ... #Ultrasound #Clinical
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Lung sliding & pneumonia on POCUS
The differential diagnosis for absence of lung sliding includes pneumonia; however,
on POCUS The differential ... diagnosis for absence ... of multiple B-lines ... #POCUS #clinical ... #ultrasound #pulmonary
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