Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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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 think of the differential ... to look at the pattern ... more than one pattern ... Diagnosis #Radiology #Pulmonary
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
cysts abutting pleura ... LCDD, SS Cyst pattern ... presentations - ILD ... Disease #DCLD #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 ... Amy Chung, MD, MSc ... #algorithm
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 • (UIP) Usual Interstitial Pneumonia
Lung Disease - Differential ... Diagnosis Algorithm ... leaking out of pulmonary ... Amy Chung, MD, MSc ... Lung #Diseases #ILD
CT and ultrasonographic features of COVID-19 pneumonia
Lung CT:
 - Thickened pleura
 - Ground glass shadow and
and effusion - Pulmonary ... super-early stage, then diffuse ... in critically ill ... patients with pulmonary ... ChestCT #Ultrasound #POCUS
COVID-19 Lung POCUS 

This is a POCUS of a patient with COVID-19.
No prior pulmonary disease; had
COVID-19 Lung POCUS ... No prior pulmonary ... disease; had mild ... CXR: diffuse interstitial ... US: Irregular pleural
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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 ... additional findings (pleural ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Lung sliding & pneumonia on POCUS
The differential diagnosis for absence of lung sliding includes pneumonia; however,
& pneumonia on POCUS ... The differential ... not reach the pleural ... interface—this pattern ... clinical #ultrasound #pulmonary
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Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
in decomposing matter ... The Disease: • Pulmonary ... adjacent to the focus ... preparations of sputum, pleural ... Treatment: • Mild-moderate