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 ... bilateral pleural effusion ... #ultrasound #pulmonary ... BLines #POCUS #Effusion
β–Ί
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 ... CT - pleural effusions ... #POCUS #COVID19 ... #coronavirus #pulmonary
Proposed Pathophysiology of COVID19 Lung Injury

COVID19 Lung Injury model schematic based on 1) ACUTE thrombotic vascular
Pathophysiology of COVID19 ... Lung Injury ... COVID19 Lung Injury ... prone benefit via perfusion ... #Pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... : Interstitial lung ... ventilation (V) in the lungs ... bypassing the lungs ... Failure #hypoxia #Differential
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Possible small plural effusion ... Possible bilateral effusion ... sliding Pulmonary ... #differential #
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... on Lung ultrasound ... consolidation - Pleural effusion ... patients with pulmonary ... #Lung #ultrasound
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... - Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... Chest X-ray - Lung ... Nasopharyngeal PCR for COVID ... - CBC with differential ... indicated (e.g. echocardiogram
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
result in decreased lung ... - Emphysema - Lung ... Diagnosis #Radiology #Pulmonary ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea - Differential ... Pneumonia β€’ Pulmonary ... β€’ Interstitial lung ... Pleura: β€’ Pleural effusion ... 2LmUODZ #Dyspnea #Differential