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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POCUS Findings in Acute Pulmonary Embolism
- McConnell's Sign
- TAPSE
- D-Shaped Septum
- Abnormal RV:LV Ratio

#Pulmonary #Embolism #AcutePE
POCUS Findings in ... Acute Pulmonary ... Embolism - McConnell's ... #Accuracy #POCUS ... #Signs #DSign #Diagnosis
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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... RJonesSonoEM #Pulmonary ... #Embolism #POCUS
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Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Interpretation Checklist ... #Chest #XRay #CXR ... Interpretation #Checklist ... #radiology #diagnosis ... #pulmonary
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
, hemoptysis Treatment ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Extrapulmonary manifestations of COVID-19
 β€’ Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-BarrΓ©, Ageusia, Myalgia, Anosmia, Stroke
 β€’ Renal:
vein thrombosis, Pulmonary ... embolism, Catheter-related ... ischemia, Acute cor ... pulmonale β€’ Endocrine ... Extrapulmonary #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... Dehydration Shock Treatment ... #Differential #Diagnosis
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 ... treatment and transfer ... #Embolism #AcutePE
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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Embolism (PE): ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... CD4 > 200: Pulm embolism ... β€’ CD4 < 200: Pulmonary ... Evaluation: Imaging (CXR ... HIVAIDS #workup #diagnosis
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... with multiple embolic ... #Endocarditis #checklist ... #criticalcare #diagnosis