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 Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... Embolism (PE): ... #differential # ... diagnosis #signs ... #Lung #POCUS #ultrasound
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 ... RV, McConnell's sign ... A4c #clinical #cardiology
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COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
19 Patterns of Lung ... Reverse Halo Sign ... #Pulmonary #ChestCT ... #radiology #CTChest ... #diagnosis
Reversed Halo Sign - Infectious and Non-Infectious Differential Diagnosis
Definition: A focal rounded area of GGO surrounded
Reversed Halo Sign ... Diagnosis Definition ... Dermatomyositis, Lung ... embolism, Lipid ... #Diagnosis #pulmonary
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea - Differential ... Diagnosis Algorithm ... β€’ Interstitial lung ... embolism β€’ Pulmonary ... Pleura: β€’ Pleural effusion
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... Diagnosis Framework ... embolus SHUNT ... Failure #hypoxia #Differential ... #Diagnosis #pulmonary
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
- Differential ... Diagnosis Algorithm ... Pneumonectomy β€’ Trapped lung ... embolism β€’ Collagen ... #Pulmonary #Diagnosis
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine Sign ... Diagnosis? ... #POCUS #Spine #Sign ... #clinical #ultrasound ... #Pulmonary
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Posterior Mediastinal Mass - Differential Diagnosis
 β€’ Neurofibroma
 β€’ Neurosarcoma
 β€’ Neuroblastoma
 β€’ Ganglioneuroma
 β€’ Meningocele
Mediastinal Mass - Differential ... Diagnosis β€’ Neurofibroma ... β€’ Small cell lung ... #Diagnosis #pulmonary ... #radiology #chest