Dr. Gerald Diaz @GeraldMD
39.6M 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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15 results
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary ... Syndrome (HPS) ... HPS-differential ... Pulmonary vasculature ... #Syndrome #HPS
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Hepatopulmonary ... Syndrome - Echocardiogram ... (A4c) with bubble ... cardiology #clinical #pocus ... #hepatology #a4c
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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... RJonesSonoEM #Pulmonary ... Echocardiogram #A4c
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Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Intracardiac, Pulmonary ... AVMs, Hepatopulmonary ... Syndrome - ... Hypoxia #hypoxemia #differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... obesity-hypoventilation syndrome ... AVMs, hepatopulmonary ... syndrome), intracardiac ... Failure #hypoxia #Differential
Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study

Intra-cardiac shunt: Bubbles appear in LA quickly (within 3
Hepatopulmonary ... Syndrome (HPS) demonstrated ... beats) Intra-pulmonary ... #HPS #Hepatopulmonary ... Study #clinical #POCUS
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Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... Dehydration Shock Treatment ... criticalcare #algorithm #treatment
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Respiratory Distress Syndrome ... submassive PE) POCUS ... #differential # ... #signs #Lung #POCUS
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... Renal Syndromes ... coagulopathy) β€’ CBC w differential ... #differential # ... diagnosis #management #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... Shock #diagnosis #differential