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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An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
An Approach to Acute ... (e.g. cardiac, pulmonary ... one of 8 basic patterns ... Medicine #Dyspnea #Acute ... #Workup #Algorithm
Cavitary Lung Disease - Differential Diagnosis and Workup Algorithm
Acute / Subacute:
 β€’ Acute Infections: Lung abscess,
Diagnosis and Workup ... Algorithm Acute ... Subacute: β€’ Acute ... #lesion #pulmonary ... #differential
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... lymphadenopathy more diffuse ... involvement, irregular pattern ... Treated Like Acute ... Lymphoproliferative #Disorders #Classification
Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
of localized -> diffuse ... diagnosis #management #Differential ... #workup #algorithm ... #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
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... to look at the pattern ... more than one pattern ... respond to the treatment ... Diagnosis #Radiology #Pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... capillaritis leading to diffuse ... hemorrhage (DAH) β€’ Diffuse ... β€’ IF staining patterns ... diagnosis #management #treatment
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Tamponade - Pulmonary ... >> Acute PE, Tension ... valvulopathy - Diffuse ... #criticalcare #treatment ... #workup
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... Disease #DCLD #pulmonary ... #Algorithm #Diagnosis ... #differential
Blastomycosis Summary

Pathogen: 
 β€’ Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 β€’ The fungus lives
in decomposing matter ... Farmer and forestry work ... The Disease: β€’ Pulmonary ... (91%): Acute / ... serum/urine Treatment