Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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 clinical differential pocus criticalcare radiology alveolar causes comparison covid19 ct infections pattern pleural aa absence absent acute ards arterial
Etiologies of pulmonary infections according to CT-scan patterns. CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
- Viral pneumonia ... Aspergillosis PLEURAL EFFUSION ... Patterns #Pulmonary #Lung ... #Differential #Diagnosis ... #Chest
COVID-19 on Lung POCUS - Day 2 Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... 2 after COVID diagnosis ... breath or pleuritic chest ... bilateral pleural effusion ... #ultrasound #pulmonary
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 Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... production, pleuritic chest
Empyema Necessitans (EN) on Chest POCUS Pulmonary teaching case: you are called to the bedside of a
Necessitans (EN) on Chest ... was admitted for pneumonia ... POCUS - What’s the diagnosis ... infected pleural effusion ... #Lung
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 Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... throughout the lungs ... rarely typical pneumonia ... Miliary #Pattern #Chest ... #pulmonary #CXR
Typical COVID19 chest x-ray versus normal. The image on the right shows multi-focal patchy airspace opacities.
Typical COVID19 chest ... don't look at chest ... image are the lungs ... The "stuff" is pneumonia ... #CXR #Clinical
Assessment of Chest Tube Drains Stepwise assessment of Chest Tube Function TUBE POSITIONING • Look at the CXR:
• Look at the CXR ... since a prior CXR ... injury to the lung ... large injury to lung ... ChestTube #Drains #Diagnosis
PseudoARDS-Effusion Pattern PseudoARDS-effusion refers to a patient with bilateral infiltrates who seems to have ARDS, but whose
PseudoARDS-Effusion ... admixture of true lung ... (e.g. small pneumonia ... a semi-supine chest ... #Diagnosis #Clinical
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 Malignant Complex Pleural Effusion on Lung POCUS You are starting your RUSH exam on febrile/hypotensive patient with
on Lung POCUS ... Diagnosis? ... Known lung CA. ... treatment.Had chest ... #Ultrasound
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 Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Elasticity (flail chest ... Atelectasis, ARDS, Pneumonia ... , Interstitial Lung ... #differential #diagnosis
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