Dr. Gerald Diaz @GeraldMD
23.1M 13.7K 7.2K
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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Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... hypertension Management ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
Cardiogenic Pulmonary ... ARDS Cardiogenic Pulmonary ... Non-cardiogenic pulmonary ... #edema #comparison ... #clinical #diagnosis
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Interventional bronchoscopic and surgical treatments for chronic obstructive pulmonary disease (COPD). Overview of various therapies used
chronic obstructive pulmonary ... are approved for clinical ... outcomes or comparison ... to lung volume ... #Management #AdvancedCOPD
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Alveolar Hemorrhage, Lung ... Primary Vascular: Pulmonary ... Intubation 2) Bad Lung ... #Diagnosis #Management ... #pulmonary #criticalcare
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... • Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... Diagnosis Framework ... respiratory drive due to neurologic ... Failure #hypoxia #Differential ... #Diagnosis #pulmonary
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... Chest X-ray - Lung ... - CBC with differential ... as clinically indicated ... , EKG) Dr.
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
highlight selected differentials ... LungPoint #POCUS #clinical ... lungdiaphragam #ultrasound #pulmonary ... #differential # ... diagnosis #mimics
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... carcinoma of the lung ... hemorrhage) - Pulmonary ... #Diagnosis #Table