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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Pulmonary Embolism Therapies

Aligning therapeutic options with the severity of pulmonary embolism. Yellow boxes represent therapies requiring
Pulmonary Embolism ... embolism. ... in prospective clinical ... trials #Pulmonary ... Severity #Management #Treatment
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Differential/diagnosis ... embolism. ... Echocardiogram #A4c #clinical
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Diagnosis of Pulmonary Embolism in Pregnancy - EMCases Algorithm

Clinical Pearls:
 - Reproducible chest wall tenderness does
Diagnosis of Pulmonary ... Embolism in Pregnancy ... EMCases Algorithm Clinical ... #Algorithm #Pulmonary ... #Embolism #Pregnancy
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... embolism. ... was cardiogenic pulmonary ... #Clinical #Radiology ... #CTChest #SeptalThickening
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #Differential # ... Diagram #Comparison
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Features That Differentiate ... Infarction and Pulmonary ... Embolism In contrast ... it difficult to differentiate ... #Presentation #comparison
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Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... Dehydration Shock Treatment ... criticalcare #algorithm #treatment
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Elasticity (flail chest ... Intracardiac, Pulmonary ... Embolism, Obstructive ... Hypoxia #hypoxemia #differential
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... AirBronchogram #POCUS #CXR #Comparison ... #Clinical #Lung ... #Pulmonary #Clinical
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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... Diagnosis #Radiology #CTChest ... Cystic #Cysts #Differential ... #Comparison #Table