10 results
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
HP (right) Differential ... Subacute stage: - RB-ILD ... similar HRCT findings ... #Clinical #Diagnosis ... #Radiology #CTChest
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... attributed to chronic ... HRCT demonstrated ... #Clinical #Radiology ... #CXR #UIP #Reticular
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Organizing Pneumonia - Clinical ... - Imaging: • CXR ... , cavities • HRCT ... lower lung zone, GGO ... organizing pneumonia, Chronic
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Lives in an old ... house & works as car ... borders); differential ... Blastomycosis #SkinRash #dermatology ... #clinical #photo
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Hb>16.5 g/dL, Hct ... Hb>16.0 g/dL, Hct ... Better call hematology ... normal/high - Chronic ... Algorithm #workup #hematology
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... there is a broad differential ... interpretion of the HRCT ... patient was coughing up ... #CTChest #RBILD
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
or the anterior chest ... auricular papules Clinical ... Dermatomyositis • Fever: up ... levels of ALT or GGT ... #dermatology #diagnosis
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Hemoptysis • Coughing up ... Loss of weight • Chest ... Physical stigmata of cor ... Diagnosis: • HRCT ... Bronchiectasis #pulmonary #differential
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
infection (IFI) in hematologic ... cut-offs defined in clinical ... and allogeneic HSCT ... BAL GM does not differentiate ... 100d following HSCT
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
Why does the Hgb/Hct ... -6% drop in Hg/Hct ... 30 min and Hg/Hct ... concentrating Hg/Hct ... Decrease of Hg/Hct