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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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... Findings Pneumothorax ... due to thickened pleura ... #differential #diagnosis ... #Lung #POCUS #ultrasound
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Lung Ultrasound: ... Edema: β€’ Smooth pleural ... line + sub-pleural ... edema #comparison #clinical ... #diagnosis #ultrasound
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COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
2 after COVID diagnosis ... line & basal b-lines ... Thickening #COVID19 #clinical ... #lung #ultrasound ... #pulmonary #BLines
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Normal Pleural Lines on Lung Ultrasound
Pleural lines should be sharp and clear, ideally with A-lines showing
Normal Pleural Lines ... on Lung Ultrasound ... Pleural lines ... Ultrasound #POCUS ... #Clinical #Pulmonary
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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... Algorithm Cardiac ... malformation Pleura ... β€’ Pneumothorax ... #Algorithm #Causes
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
Findings on Lung ultrasound ... - Thickened pleural ... patients with pulmonary ... COVID19 #Lung #ultrasound ... #POCUS #Diagnosis
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
" a finding in pneumothorax-related ... LungPoint #POCUS #clinical ... lungdiaphragam #ultrasound ... #pulmonary #differential ... #diagnosis #mimics
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The retracted visceral pleura is seen (blue arrow) which indicates that there is a pneumothorax.
There is
retracted visceral pleura ... is a horizontal line ... are no straight lines ... only key to the diagnosis ... #Clinical #Radiology
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 β€’ Predominately horizontal lines
 β€’ A-lines are repeated horizontal &
COPD and also a pneumothorax ... from the pleura ... - MCW EM Ultrasound ... #BLines #Lung # ... #clinical #comparison
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One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
lesions on CT - pleural ... sick but no B-lines ... #coronavirus #pulmonary ... #ultrasound #diagnosis