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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On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
D-Sign of Acute Pulmonary ... DSign #AcutePE #Pulmonary ... #POCUS #PSAX #Echocardiogram ... #CriticalCare
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RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Dilatation in Pulmonary ... Dilatation #AcutePE #Pulmonary ... #POCUS #PLAX #Echocardiogram ... #CriticalCare
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Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Decompensated CHF ... , CVP > 12 β€’ Pulmonary ... Diagnosis #Types #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... hair) β€’ Risk Of Clinical ... #indications #criticalcare
Pulmonary Vein Stenosis on Echocardiogram - PLAX - Color Doppler
41 y/o w no PMHx

- Edinson Garcia.
Pulmonary Vein Stenosis ... on Echocardiogram ... PulmonaryVein #Stenosis #Echocardiogram ... Doppler #pocus #clinical
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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... thread for POCUS Pulmonary ... Embolism #POCUS #Echocardiogram ... #A4c #clinical
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Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... β€’ Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare
Notice the cavitation especially on the right.
In the left upper lobe there is probably some traction-bronchiectasis
#Clinical #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #RadiologyAssistant