Dr. Gerald Diaz @GeraldMD
29.9M 13.9K 7.3K
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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Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... Pulmonary teaching ... - What’s the diagnosis ... effusion where ... #Chest #Lung
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Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Effusion on Lung ... Diagnosis? ... U/S could be empyema ... #Effusion #Lung ... #POCUS #Pulmonary
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Empyema on POCUS

89-year-old male with fever and dyspnea. Lung ultrasound reveals what chest x-ray hides -
Empyema on POCUS ... Lung ultrasound ... reveals what chest ... #Pulmonary #Loculated ... #Pleural #Effusion
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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
effusion - Reduced ... to thickened pleura ... the severity Acute ... #differential #diagnosis ... #signs #Lung #POCUS
One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
POCUS in COVID19 ... lesions on CT - pleural ... effusions uncommon ... #coronavirus #pulmonary ... #ultrasound #diagnosis
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
2 after COVID diagnosis ... breath or pleuritic chest ... effusion, thickened ... #ultrasound #pulmonary ... #Effusion
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Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
Actinomyces spp., NHL; Lung ... Castleman's disease β€’ Pleural ... effusion; empyema ... #differential #diagnosis ... #chestCT #radiology
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
be present on a chest ... fully explained by pleural ... effusions, lobar ... collapse, lung ... Definition #Criteria #Diagnosis
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 β€’ Look at the CXR:
is within the pleura ... injury to the lung ... large injury to lung ... Fr hemothorax/empyema ... ChestTube #Drains #Diagnosis