Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #a4c #electrical ... #alternans
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Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG alternans ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical ... #alternans
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Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Pleural Effusion ... on Lung POCUS ... Diagnosis? ... pleural effusion ... #POCUS #Pulmonary
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COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
2 after COVID diagnosis ... effusion, thickened ... Thickening #COVID19 #clinical ... lung #ultrasound #pulmonary ... #Effusion
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Large Pleural Effusion on Lung Ultrasound (POCUS)

Usually reach for a smaller footprint (phased or micro-convex) for
Large Pleural Effusion ... micro-convex) for diagnosing ... pleural effusions ... #Effusion #clinical ... #lung #pulmonary
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Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
Pulmonary teaching ... - What’s the diagnosis ... effusion where ... Necessitans #EN #Chest #clinical ... pulmonary #respiratory
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Fibrinous septations in Malignant Pleural Effusion (MPE) - Lung POCUS
 β€’ can be triggered by thoracenteses
Pleural Effusion ... (MPE) - Lung POCUS ... #Pleural #Effusion ... #clinical #ultrasound ... #pulmonary
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Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Differential Diaqnoses ... Hantavirus β€’ Malignant ... hepatitis β€’ Pulmonary ... : pleural effusion
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... infection and malignancy-associated ... case reports of pleural ... effusion associated ... #Clinical #Diagnosis
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
Hypercalcemia of malignancy ... renal failure, pulmonary ... opacities, SOB, pleural ... effusions - Treatment ... Oncology #HemeOnc #Diagnosis