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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Lung ultrasound pathology in a COVID-19 positive patient
 - Few B-lines (vertical white lines)
 - Confluent
Lung ultrasound ... and Thickened Pleura ... - Small Tiny Pleural ... POCUS #Clinical #Lung ... #Coronavirus #Table
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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Ultrasound Findings ... due to thickened pleura ... #differential #diagnosis ... #ultrasound #findings
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Lung Ultrasound: ... Edema: β€’ Smooth pleural ... line + sub-pleural ... comparison #clinical #diagnosis ... #ultrasound
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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... β€’ Interstitial lung ... malformation Pleura ... : β€’ Pleural effusion ... #Differential #Diagnosis
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... Smoking related diseases ... edema #Diagnosis ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
Main Lung Ultrasound ... Consolidations, Pleural ... COVID19 #POCUS #Lung ... #Ultrasound #Comparison ... #Table #Diagnosis
Normal Pleural Lines on Lung Ultrasound
Pleural lines should be sharp and clear, ideally with A-lines showing
on Lung Ultrasound ... As lung disease ... #ALines #Lung # ... Ultrasound #POCUS ... #Clinical #Pulmonary
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Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... transducer on lung ... Clinical #POCUS #Lung ... #Pleural #Effusion ... #ultrasound #pulmonary
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Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Pulmonary vasculature ... Diseases of the ... lung parenchyma ... Pleura and diaphragm ... Patients with liver disease
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
indicative of pleural ... the absence of pleural ... by air in the lung ... #Effusion #Pulmonary ... #Lung #Ultrasound