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 Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura reflection) Pneumonia ... Respiratory Distress Syndrome ... (ARDS): - Bilateral ... #differential #diagnosis ... #signs #Lung #POCUS
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Pulmonary edema, ARDS ... partially seen shred sign ... NOT definitively diagnose ... #Lung #POCUS #clinical ... #ultrasound
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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... – ARDS: Clinical ... oxygenation in pneumonia ... #CheatSheet #Diagnosis ... #Management #CriticalCare
PseudoARDS-Effusion Pattern

PseudoARDS-effusion refers to a patient with bilateral infiltrates who seems to have ARDS, but whose
seems to have ARDS ... closely mimic ARDS ... admixture of true lung ... (e.g. small pneumonia ... #Diagnosis #Clinical
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Lemierre’s Syndrome - Clinical Presentation

97% have septic emboli to the lungs!  So look for pneumonia,
- Clinical Presentation ... emboli to the lungs ... So look for pneumonia ... #Presentation #Signs ... #Symptoms #Diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
week of a known clinical ... explained by pleural effusions ... lobar collapse, lung ... Definition #Criteria #Diagnosis ... #CriticalCare
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
Long-term survival ... after brain death diagnosis ... #PhysicalExam #clinical ... video #neurology #criticalcare ... #braindeath #braindead
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COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
19 Findings on Lung ... ultrasound - ... consolidation - Pleural effusion ... alveolar interstitial syndrome ... #Diagnosis #Signs
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... : Atelectasis, ARDS ... , Pneumonia and ... , Interstitial Lung ... #differential #diagnosis
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
(ARDS) Chest ... fully explained by effusions ... , lobar/lung collapse ... >= 5cm H2O #Diagnosis ... #CriticalCare #
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