Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural Effusion ... syndrome β€’ Protein-losing ... Noninfectious: β€’ Malignancy ... β€’ Pulmonary embolism ... Post-CABG β€’ Medication
Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Malignant Complex ... Pleural Effusion ... on Lung POCUS ... No empyema.Had acute ... #Lung #POCUS #Pulmonary
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Fibrinous septations in Malignant Pleural Effusion (MPE) - Lung POCUS
 β€’ can be triggered by thoracenteses
septations in Malignant ... Pleural Effusion ... (MPE) - Lung POCUS ... can be broken during ... clinical #ultrasound #pulmonary
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Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... infection and malignancy-associated ... occur at any time during ... reports of pleural effusion ... Clinical #Diagnosis #Radiology
Malignant Pericardial Effusion and Tamponade on POCUS Echocardiogram - A4C
CA patient with known pericardial effusion who
Malignant Pericardial ... on POCUS Echocardiogram ... BP stable. ... RJonesSonoEM #Malignant ... Echocardiogram #A4C #cardiology
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D-Sign in Pulmonary Embolism on POCUS Echocardiogram - PSAX

Pt having shortness of breath? POCUS can shed
D-Sign in Pulmonary ... Embolism on POCUS ... @eabramsMD #DSign ... PSAX #clinical #cardiology ... PulmonaryEmbolism #AcutePE
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Acute Pulmonary Embolism on POCUS Echocardiogram - PSAX
Here’s a recent case that demonstrates two of the
Acute Pulmonary ... Embolism on POCUS ... henneberry_ryan #Pulmonary ... PSAX #clinical #cardiology ... #DSign
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Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
24-48 h and ANC rising ... interventional radiology ... Hypercalcemia of malignancy ... renal failure, pulmonary ... , SOB, pleural effusions
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... probability of malignancy ... unequivocal growth noted during ... #Management #Radiology ... Society #Followup #Pulmonary