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 ... Valvular disease • Tamponade ... Parenchyma: • Pneumonia ... : • 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 ... in severe cases ... submassive PE) POCUS
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
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
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
in blood flow caused ... , cardiac tamponade ... Depends on the cause ... Pulmonary embolism ... effusion, small
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... effusion, Pneumonia ... Sarcoid, Tumor, Pleural ... effusion, Pulmonary ... Valvular disease, Tamponade
Empyema Necessitans (EN) on Chest POCUS

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