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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COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... diagnosis. ... effusion, thickened ... #clinical #lung ... #ultrasound #pulmonary
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Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
Main Lung Ultrasound ... differences between COVID ... Large pleural effusion ... #Comparison #Table ... #Diagnosis
One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
POCUS in COVID19 ... lesions on CT - pleural ... effusions uncommon ... #coronavirus #pulmonary ... #ultrasound #diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
A-lines (parietal pleura ... effusion - Reduced ... to thickened pleura ... Possible bilateral effusion ... #differential #diagnosis
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... on Lung ultrasound ... effusion is rare ... patients with pulmonary ... #POCUS #Diagnosis
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Edema: β€’ Smooth pleural ... β€’ Irregular pleural ... line + sub-pleural ... #edema #comparison ... #clinical #diagnosis
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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... β€’ Interstitial lung ... malformation Pleura ... : β€’ Pleural effusion ... #Differential #Diagnosis
Large Pleural Effusion on Lung Ultrasound (POCUS)

Usually reach for a smaller footprint (phased or micro-convex) for
Large Pleural Effusion ... on Lung Ultrasound ... micro-convex) for diagnosing ... pleural effusions ... #pulmonary
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Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Pneumonectomy β€’ Trapped lung ... #Effusion #Pulmonary
Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Malignant Complex Pleural ... Effusion on Lung ... Diagnosis? ... #Effusion #Lung ... #POCUS #Pulmonary
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