Dr. Gerald Diaz @GeraldMD
32.8M 13.9K 7.4K
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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Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 β€’ Upper Lobe: Apical, Posterior, Anterior
 β€’ Middle
Annotated on Chest ... lang=us #Lung # ... lobes #Segments #Chest ... #CT #CTChest #pulmonary ... #clinical #radiology
β–Ί
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Secondary to chronic lung ... β€’ Hypoxia β€’ Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Triage EKG (no prior ... Pulmonary embolism ... A4c #clinical #cardiology
β–Ί
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 ... Findings on Chest ... COVID19 #Patterns #Lung ... #Pulmonary #ChestCT ... #radiology #CTChest
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 #CTChest
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... paradoxus - ECG ... pericardiocentesis #Pericardial ... Triad #Diagnosis #Cardiology
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... distance away from lung ... Pericardiocentesis #POCUS ... A4c #clinical #cardiology ... #effusion #pericardial
β–Ί
Posterior Mediastinal Mass - Differential Diagnosis
 β€’ Neurofibroma
 β€’ Neurosarcoma
 β€’ Neuroblastoma
 β€’ Ganglioneuroma
 β€’ Meningocele
β€’ Small cell lung ... Differential #Diagnosis #pulmonary ... #radiology #chest
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
Hemothorax on Lung ... POCUS with Spine ... GSW to left chest ... #POCUS #Spine # ... clinical #ultrasound #Pulmonary
β–Ί
Medical Management of Acute RV Failure
 β€’ Evaluate and Treat Etiology of RV Failure [e.g. Acute
of RV Failure [e.g ... involving RV, Pulmonary ... Primary/Concomitant Pericardial ... rightventricular #cardiology