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 ... Distress Syndrome ... (ARDS): - Bilateral ... #differential #diagnosis ... #signs #Lung #POCUS
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... – ARDS: Clinical ... oxygenation in pneumonia ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 •
Main Lung Ultrasound ... that may yield respiratory ... superimposed bacterial pneumonia ... COVID19 #POCUS #Lung ... #Table #Diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
(ARDS) - Respiratory ... week of a known clinical ... explained by pleural effusions ... lobar collapse, lung ... #CriticalCare
PseudoARDS-Effusion Pattern

PseudoARDS-effusion refers to a patient with bilateral infiltrates who seems to have ARDS, but whose
seems to have ARDS ... , but whose respiratory ... admixture of true lung ... (e.g. small pneumonia ... #Diagnosis #Clinical
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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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Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... hypoxemia • 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 and ... , Interstitial Lung ... #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