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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Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 β€’ Bronchitis, Bronchiectasis, Malignancy
Hemoptysis - Differential ... carcinoid, Mets), COPD ... #Hemoptysis #Differential ... #Diagnosis #pulmonary
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... acidosis Step 5 - Differential ... Classically” noted with pulmonary ... lung disease (COPD ... Base #Gas #VBG #differential
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... Tracheal #Descent #COPD ... #physicalexam #pulmonary
β–Ί
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... clinical #video #pulmonary ... #COPD #respiratory
β–Ί
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... #respiratory #pulmonary ... breathing #Trachea #COPD
β–Ί
Vocal Cord Paralysis on Bronchoscopy
Bronchogenic carcinoma sometimes presents dysphonia as the first symptom. This patient complained
Vocal Cord Paralysis ... Note the vocal cord ... doencasdotorax #Vocal #Cord ... clinical #video #pulmonary
β–Ί
Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Disease: Asthma, COPD ... Acute #Chronic #Differential
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Generalized Weakness - Differential ... : CHF, valves, COPD ... Generalized #Weakness #Differential
Seronegative Inflammatory Arthritis - Differential Diagnosis
 β€’ Seronegative Rheumatoid Arthritis 
 β€’ Infectious Arthritis: Viral, Bacterial,
Inflammatory Arthritis - Differential ... Arthropathy: Gout, CPPD ... #arthritides #Differential
Opportunistic Infections in HIV/AIDS
Here's a little symptom-based guide to OIs in pts with HIV I made
Hemoptysis - Pulmonary ... Tenesmus - Spinal Cord