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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Empyema on Lung on Point of Care Ultrasound

Don't be fooled by empyema masquerading as liver! 

by
Empyema on Lung ... Don't be fooled by empyema ... masquerading as liver ... haileyahobbs #empyema ... #Lung #pulmonary
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Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
Empyema Necessitans ... was admitted for pneumonia ... This is Empyema ... Because Empyema ... @nickmmark #Empyema
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Parapneumonic Empyema on Lung POCUS

Also note pleural effusion, air bronchograms, intraabdominal FF

Dr. Michael I. Prats @PratsEM

#Parapneumonic
Parapneumonic Empyema ... on Lung POCUS ... Parapneumonic #Empyema ... #Lung #POCUS #ultrasound
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Lung Empyema on POCUS
When your patient has 3 courses of antibiotics and is not improving you
Lung Empyema on ... suspicious for empyema ... @TomJelic #Lung ... #Empyema #POCUS ... pleural #pulmonary #ultrasound
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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 ... CasasolaGarcia #Empyema ... #Lung #Ultrasound
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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Parenchyma: β€’ Pneumonia ... Atelectasis β€’ Emphysema ... β€’ Interstitial lung
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
history of severe emphysema ... Subcutaneous emphysema ... any soft tissue emphysema ... with subcutaneous emphysema ... #Subcutaneous #Emphysema
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Pyothorax on Lung on Point of Care Ultrasound

POCUS helped to identify pyothorax in this unstable patient
Pyothorax on Lung ... Point of Care Ultrasound ... shock secondary to pneumonia ... #pyothorax #empyema ... #Lung #pulmonary
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Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
., NHL; Lung cancer ... Parapneumonic effusion; empyema ... Pyogenic bacterial pneumonia ... cancer, Organizing pneumonia ... Pyogenic bacterial pneumonia
Subcutaneous Emphysema vs Pneumothorax on POCUS
Don't mistake for PTX -> Find ribs to confirm pleural line
Subcutaneous Emphysema ... #Subcutaneous #Emphysema ... #comparison #ultrasound ... #lung #pneumothorax
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