Dr. Gerald Diaz @GeraldMD
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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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Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... Extensive pneumonia ... #CXR #Comparison ... Clinical #Lung #Pulmonary
β–Ί
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... β€’ Labs: CBC, cr ... , anti-CCP β€’ CXR ... high resolution chest ... #differential #
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... myelodysplastic syndrome ... #CT #Patterns #Pulmonary ... ComputedTomography #Differential ... #Diagnosis #Chest
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern - Chest ... rarely typical pneumonia ... , Sarcoidosis, HSP ... #diagnosis #pulmonary ... #CXR #clinical
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... to think of the differential ... respond to the treatment ... Diagnosis #Radiology #Pulmonary ... #CXR #Consolidation
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
B-Lines in case of Pneumonia ... States has bilat ... Differential Bilat ... /lung sliding: Pulmonary ... Also has partially
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Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
Air-Fluid Level on Chest ... latent TB s/p treatment ... and pleuritic chest ... Here is his original ... ChestXRay #Clinical #Pulmonary
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
POCUS Pulmonary ... was admitted for pneumonia ... coughed and now his ... drain on POCUS ... #pulmonary #respiratory
β–Ί
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Weakness, Loss of Chest ... Elasticity (flail chest ... Atelectasis, ARDS, Pneumonia ... Hypoxia #hypoxemia #differential
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... identified, Strep pneumoniae ... Evaluation: Imaging (CXR ... /- High res CT chest ... diagnosis #evaluation #differential