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
pleura reflection) Pneumonia ... severity Acute Respiratory ... Distress Syndrome ... #differential #diagnosis ... #signs #Lung #POCUS
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
Main Lung Ultrasound ... that may yield respiratory ... superimposed bacterial pneumonia ... COVID19 #POCUS #Lung ... #Table #Diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... hypoxemia β€’ Causes: Pneumonia ... hepatopulmonary syndrome ... #Differential #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Atelectasis, ARDS, Pneumonia ... , Interstitial Lung ... UnremarkableLab #AA ... #differential #diagnosis
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
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
Clinical manifestations ... pancreatitis Lungs ... , Acute respiratory ... liver #failure #Signs ... #Symptoms #Diagnosis
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 ... partially seen shred sign ... NOT definitively diagnose ... #Lung #POCUS #clinical ... #ultrasound
β–Ί
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... – ARDS: Clinical ... oxygenation in pneumonia ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
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
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