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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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... from the various causes ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... - Differential Diagnosis ... Algorithm Cardiac ... • Interstitial lung ... Pleura: • Pleural effusion
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
- Differential Diagnosis ... Nodule / mass • Masses ... Pneumomediastinum, Pericardial effusion ... • CXR rotation ... #pulmonary #radiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
in blood flow caused ... massive pericardial effusion ... Depends on the cause ... Pulmonary embolism ... #criticalcare #diagnosis
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluation of Pulmonary ... • Evaluate for signs ... for pericardial effusion ... • Evaluate for causes ... Echocardiography #diagnosis
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... bubble and the lung ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
vein thrombosis, Pulmonary ... thrombosis • Cardiac ... ischemia, Acute cor ... Extrapulmonary #Diagnosis ... #Signs #Symptoms
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... sliding: Pulmonary ... Lung POCUS shows ... partially seen shred sign ... NOT definitively diagnose
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