Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Effusion - Differential ... syndrome • Protein-losing ... Malignancy • Pulmonary ... Post-CABG • Medication
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... the severity Acute ... submassive PE) POCUS ... #differential # ... #signs #Lung #POCUS
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Acute or chronic ... Compensation, Acute ... acetaminophen dosing ... Classically” noted with pulmonary
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
include any child coming ... transmission, with acute ... and no apparent focus ... • Every dengue case ... • Every dengue case
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... other findings based ... on cause Distributive ... #Diagnosis #table
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... occur at any time during ... There are case reports ... of pleural effusion ... Clinical #Diagnosis #Radiology
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
these terms are based ... since in many cases ... #CXR #Lucency #Differential ... #Table #CavitaryLesion ... Cavity #Cyst #Lung #Pulmonary
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... can be suspected based ... #Diagnosis #Radiology ... #Pulmonary #CXR
Acute Pulmonary Embolism on POCUS Echocardiogram - PSAX
Here’s a recent case that demonstrates two of the
Acute Pulmonary ... Here’s a recent case ... henneberry_ryan #Pulmonary ... PSAX #clinical #cardiology ... #DSign
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 • Arrows identifying the characteristic edema-like signal
lesion) - MSK Radiology ... signal about the closing ... Case description ... early physeal fusion ... (save $$) Differential