Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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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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Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Hantavirus • Malignant ... hepatitis • Pulmonary ... : pleural effusion ... #management #treatment
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
 • can be triggered by thoracenteses
Pleural Effusion ... (MPE) - Lung POCUS ... #Pleural #Effusion ... #clinical #ultrasound ... #pulmonary
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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
Blastomycosis (Blastomyces): Gilchrist’s disease, Chicago disease - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode
inoculation • Clinical ... patterns, small pleural ... effusions) ... • Management ... #management #summary
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... regurgitation) Diagnosis ... • TTE with Doppler ... • Ventilation-perfusion ... #management
Summary of Oncologic Emergencies

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