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 ... Day 2 after COVID ... breath or pleuritic chest ... #clinical #lung ... #ultrasound #pulmonary
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COVID-19 Patient Chest CT - Ground Glass Opacities 

COVID19 Infection - CT Chest, POCUS Echocardiogram and
COVID-19 Patient ... Opacities COVID19 ... Echocardiogram and Lung ... #SARSCoV2 #CTChest ... #Clinical #CriticalCare
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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
COVID-19 Patterns ... of Lung Findings ... Subpleural Curvilinear Lines ... #Pulmonary #ChestCT ... #radiology #CTChest
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... on Lung ultrasound ... patients with pulmonary ... GrauSegura #COVID19 ... #Lung #ultrasound
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Support Algorithm in COVID19 ... patients with COVID ... lung disease are ... #management #schema ... #criticalcare #
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... evaluation - Chest ... X-ray - Lung ultrasound ... look for focal a-lines ... #algorithm #schema
COVID-19 on Lung POCUS

Day 4 after COVID diagnosis. More cough & tiredness (very badly), still no
COVID-19 on Lung ... still no dyspnea/chest ... #clinical #lung ... #ultrasound #pulmonary ... #BLines #POCUS
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One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
One-page resource for Lung ... POCUS in COVID19 ... sick but no B-lines ... #POCUS #COVID19 ... #coronavirus #pulmonary
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... patients with COVID ... Proning is a front-line ... #management #schema ... #criticalcare #