Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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19 results
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural Effusion ... - Differential Diagnosis ... Pneumonectomy β€’ Trapped lung ... embolism β€’ Collagen ... #Pulmonary #Diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Respiratory Distress Syndrome ... Embolism (PE): ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS ... Echocardiogram #A4c
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Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... embolus SHUNT ... hepatopulmonary syndrome ... #Differential #Diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... Superior vena cava syndrome ... β€’ Interstitial lung ... embolism β€’ Pulmonary ... Pleura: β€’ Pleural effusion
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... 2 after COVID diagnosis ... Thickening #COVID19 #clinical ... #pulmonary #BLines ... #POCUS #Effusion
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Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... Embolism, Obstructive ... , Interstitial Lung ... #differential #diagnosis
Large Pleural Effusion on Lung Ultrasound (POCUS)

Usually reach for a smaller footprint (phased or micro-convex) for
on Lung Ultrasound ... (POCUS) Usually ... micro-convex) for diagnosing ... #clinical #pocus ... #pulmonary
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COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
consolidation - Pleural effusion ... alveolar interstitial syndrome ... patients with pulmonary ... #ultrasound #POCUS ... #Diagnosis #Signs
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... on POCUS Echocardiogram ... U/S expediting diagnosis ... #Embolism #AcutePE ... #s4c #clinical
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