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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Pneumonia with irregular step ladder or "shred sign" on Lung Ultrasound (POCUS)

Dr. J. Christian Fox @jchristianfox

#Pneumonia
Pneumonia with irregular ... ladder or "shred sign ... " on Lung Ultrasound ... jchristianfox #Pneumonia ... #lung #pulmonary
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Lung POCUS: Shred sign in patient with non-translobar consolidation. Phased array probe used.

Dr. Robert Jones @RJonesSonoEM

#ShredSign
Lung POCUS: Shred sign ... Consolidation #Pneumonia ... #Lung #POCUS #Pulmonary ... #Ultrasound #Clinical
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Community Acquired Pneumonia - Inpatient and Outpatient Treatment Regimens
 • Outpatient, no significant comorbidities
 • Outpatient,
Community Acquired Pneumonia ... and Outpatient Treatment ... Community #Acquired #Pneumonia ... Inpatient #Outpatient #Treatment ... #management #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... sliding/barcode sign ... pleura reflection) Pneumonia ... Consolidations - "Shred" sign ... #Lung #POCUS #ultrasound
Pneumonia on Lung Ultrasound looks like this: 
A-lines replaced by B-lines in an irregular stepladder appearance
Pneumonia on Lung ... Ultrasound looks ... termed the Shred Sign ... jchristianfox #Pneumonia ... #lung #pulmonary
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Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... e.g., CXR, CT, ultrasound ... procalcitonin) - Pulmonary ... chest pain) and signs ... #Pneumonia #Venn
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
Abdominal or flank ... be present or signs ... clostridium, klebsiella pneumoniae ... ultrasound as initial ... data • Early treatment
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 ... /lung sliding: Pulmonary ... had Mycoplasma pneumonia ... partially seen shred sign ... POCUS #clinical #ultrasound
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Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal ... Dehydration Shock Treatment ... criticalcare #algorithm #treatment ... #management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Exacerbation Signs ... of baseline Treatments ... #CriticalCare #pulmonary ... ventilation #mechanical #management ... #treatment