Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... Diagnosis Algorithm Cardiac ... Parenchyma: • Pneumonia ... Atelectasis • Emphysema ... : • Pleural effusion
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
A-lines (parietal pleura ... reflection) Pneumonia ... effusion - Reduced ... due to thickened pleura ... submassive PE) POCUS
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
Pulmonary teaching ... was admitted for pneumonia ... effusion where ... Necessitans #EN #Chest #clinical ... pulmonary #respiratory
Empyema on POCUS

89-year-old male with fever and dyspnea. Lung ultrasound reveals what chest x-ray hides -
Empyema on POCUS ... with fever and dyspnea ... Effusion Dr. ... #Clinical #Pulmonary ... #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
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... was admitted for pneumonia ... effusion where ... #PhysicalExam #clinical ... #video #pulmonary
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
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
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
B-Lines in case of Pneumonia ... pt with fever/dyspnea ... /lung sliding: Pulmonary ... partially seen shred sign ... #Lung #POCUS #clinical
Jellyfish Sign on Lung POCUS
The “Jellyfish Sign” occurs when a consolidated lung is seen floating in
floating in the pleural ... effusion. ... #Lung #POCUS #clinical ... #ultrasound #pulmonary ... #effusion