Dr. Gerald Diaz @GeraldMD
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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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differential pocus chestct algorithm hypoxia signs alveolar arterial bilateral blines challenges clinical comparison criticalcare ctchest diseases dyspnea failure features findings
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Ultrasound Findings ... pleura reflection) Pneumonia ... Embolism (PE): ... #differential #diagnosis ... #signs #Lung #POCUS
Reversed Halo Sign - Infectious and Non-Infectious Differential Diagnosis Definition: A focal rounded area of GGO surrounded
Reversed Halo Sign ... • Infectious Causes ... Dermatomyositis, Lung ... , Pulmonary embolism ... #pulmonary
COVID-19 Patterns of Lung Findings on Chest CT 1. Reverse Halo Sign 2. ARDS 3. Crazy-Paving Pattern 4. Bilateral Peripheral
COVID-19 Patterns ... Organizing Pneumonia ... #Pulmonary #ChestCT ... #radiology #CTChest ... #diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... : Interstitial lung ... : Pneumonia, asthma ... embolus SHUNT ... #Differential #Diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... Parenchyma: • Pneumonia ... • Interstitial lung ... embolism • Pulmonary ... Pleura: • Pleural effusion
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Pneumonectomy • Trapped lung ... Infectious: • Pneumonia ... embolism • Collagen ... #Pulmonary #Diagnosis
COVID-19 Findings on Lung ultrasound - Thickened pleural line - B lines (multifocal, discrete, or confluent)
on Lung ultrasound ... patients with pulmonary ... #Lung #ultrasound ... #POCUS #Diagnosis ... #Signs
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Atelectasis, ARDS, Pneumonia ... Embolism, Obstructive ... , Interstitial Lung ... UnremarkableLab #AA ... #differential #diagnosis
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... Parapneumonic effusion ... #differential #diagnosis ... #chestCT #radiology
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose ... #ultrasound
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