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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Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
Syncope - Findings, Signs ... #Syncope #Differential ... #Table #CriticalCare ... #Sign #Symptoms ... #Findings #Comparison
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings, Signs ... DrEricStrong #Shock #Differential ... #Table #CriticalCare ... #Sign #Symptoms ... #Findings #Comparison
Inflammatory Myopathies
Dermatomyositis
 β€’ Onset: Subacute
 β€’ Pattern: Proximal
 β€’ CK: Up to 50X ULN
 β€’ Autoantibodies:
: Subacute β€’ Pattern ... heliotrope, shawl sign ... : Subacute β€’ Pattern ... or subacute β€’ Pattern ... Insidious/slow β€’ Pattern
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... nodules along the central ... NodularPattern #Nodular #Pattern ... MultipleNodules #Nodules #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... CTChest #Nodular #Pattern ... NodularPattern #Differential ... #Comparison #Table
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : 'signet ring sign ... emphysema: no walls, central ... Cystic #Cysts #Differential ... #Comparison #Table
Pemphigus Vulgaris vs Bullous Pemphigoid - Comparison Table
Pemphigus Vulgaris
 β€’ Epidemiology: Average age 40-60
 β€’ Time
Bullous Pemphigoid - Comparison ... Table Pemphigus ... ruptured β€’ Nikolsky sign ... of tombstone" pattern ... Tense β€’ Nikolsky sign
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
Maculopapular Rashes - THE ALGORITHMIC ... macule and papule (Table ... rashes but without signs ... Maculopapular #Rash #Algorithm ... #Differential
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Lymphoproliferative Disorders - Differential ... Diagnosis Algorithm ... involvement, irregular pattern ... Lymphoproliferative #Disorders #Classification ... #algorithm
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
is a reticular patern ... recognized that this pattern ... most challenging differential ... can identify the central ... dot sign.