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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Lung Nodules - Differential Diagnosis by Distribution
 β€’ Centrilobular: Hypersensitivity Pneumonitis, RB-ILD, Pneumoconiosis, Infectious Bronchiolitis, Vasculitis,
Lung Nodules - Differential ... Pneumonitis, RB-ILD ... Bronchiolitis, Vasculitis, Diffuse ... Lung #Nodules #Differential ... #Distribution #pulmonary
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Bronchospasm, Pulmonary ... Physiologic: ARDS, Diffuse ... Impaired Diffusion: ILD ... Hypoxemia #hypoxia #Differential
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... to think of the differential ... to look at the pattern ... more than one pattern ... Diagnosis #Radiology #Pulmonary
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... the nodules are diffuse ... Diagnosis #Radiology #Pulmonary ... MultipleNodules #Nodules #Differential
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... presentations - ILD ... Disease #DCLD #pulmonary ... #differential
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Hepatocellular Pattern ... NAFLD, Others β€’ Mild ... Ducts - CBD
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Iron Deficiency - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... athletic training, Pulmonary ... Iron #Deficiency #Differential
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Lung Disease - Differential ... Diagnosis Algorithm ... leaking out of pulmonary ... Lung #Diseases #ILD ... #Causes #Differential
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
smoker with RB-ILD ... The dominant pattern ... there is a broad differential ... first think RB-ILD ... RespiratoryBronchiolitis #ILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant