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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One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
in COVID19: - ... sick but no B-lines ... #COVID19 #coronavirus ... #pulmonary #ultrasound ... #diagnosis
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload β€œD Sign” EI
D-Sign on Ultrasound ... ” EI > 1 - POCUS ... #echocardiogram ... #psax #diagnosis ... #cardiology #pocus
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... POCUS - Day 2 ... diagnosis. ... clinical #lung #ultrasound ... #pulmonary #BLines
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Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
(PLAX view) ... What's the Diagnosis ... Aortic #Aorta #Echocardiogram ... #PLAX #Clinical ... #Ultrasound #POCUS
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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... X-ray - Lung ultrasound ... look for focal a-lines ... indicated (e.g. echocardiogram ... #SARSCoV2 #Coronavirus
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... on Lung ultrasound ... patients with pulmonary ... #Lung #ultrasound ... #POCUS #Diagnosis
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Echocardiogram ... Diagnosis? ... #ultrasound #Cardiology ... #PLAX #clinical
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COVID-19 Lung POCUS 

This is a POCUS of a patient with COVID-19.
No prior pulmonary disease; had
COVID-19 Lung POCUS ... This is a POCUS ... No prior pulmonary ... Clinical #Lung #Ultrasound ... #SARSCoV2 #Coronavirus
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Day 10 after COVID diagnosis. Less tired, but more cough, ageusia & anosmia. No dyspnea or
Day 10 after COVID ... diagnosis. ... clinical #lung #ultrasound ... #pulmonary #BLines ... #POCUS
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COVID-19 on Lung POCUS

Day 4 after COVID diagnosis. More cough & tiredness (very badly), still no
COVID-19 on Lung ... POCUS Day 4 ... after COVID diagnosis ... clinical #lung #ultrasound ... #pulmonary #BLines
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