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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Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Pneumothorax, Alveolar ... Edema, Alveolar ... Hemorrhage β€’ Impaired Diffusion ... Hypoxemia #hypoxia #Differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... first part of alveolar ... second part of alveolar ... across capillary-alveolar ... Failure #hypoxia #Differential
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
alveolar proteinosis ... disease β€’ Pleural effusion ... Parapneumonic effusion ... (NHL, primary effusion ... #diseases #differential
Diagnosis and Management of Diffuse Alveolar Hemorrhage (DAH)
Blood escaping through the capillary wall into the alveoli,
Diagnosis and Management ... of Diffuse Alveolar ... infiltrates, no pleural effusion ... DAH #Diagnosis #Management ... #Pulmonary #Differential
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... TB, Mycetoma, Alveolar ... Primary Vascular: Pulmonary ... #pulmonary #criticalcare
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Age-Adjusted Gradient β€’ Alveolar ... Disease and more β€’ Diffusion ... Defect: Pulmonary ... #AA #Gradient #alveolar ... Hypoxia #hypoxemia #differential
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
consolidation - Pleural effusion ... mild infection; alveolar ... patients with pulmonary ... Lung #ultrasound #POCUS
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Possible small plural effusion ... Possible bilateral effusion ... submassive PE) POCUS ... #differential # ... #signs #Lung #POCUS
ABCs of Lung Ultrasound - A-Lines, B-Lines, Consolidation
A-Profile - Air filled lung does not transmit sound
C-Profile - Filled alveoli ... C-Profile - Collapsed alveoli ... Profiles #Ultrasound #POCUS ... #Differential # ... Diagnosis #pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) β€’ CBC w differential ... LVEF, pericardial effusion ... leading to diffuse alveolar ... Renal #Syndromes #differential ... #diagnosis #management