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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Connective tissue disease-associated interstitial lung diseases

LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.
lung diseases ... I-JIP: usual interstitial ... AIP: acute interstitial ... ConnectiveTissueDiseases #ILD ... #Comparison #Table
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... Diseases (ILD) ... Exposure-Related ILD ... lung disease (RB-ILD ... #differential #
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Differential Diagnosis ... Algorithm Idiopathic ... β€’ (UIP) Usual ... #ILD #Causes #Differential ... #Diagnosis #Algorithm
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
transbronchial lung ... computed tomography; UIP ...  = usual interstitial ... pulmonary #diagnosis #algorithm ... #HP #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... responses of the lung ... listed in the table ... findings of NSIP, UIP ... IdiopathicInterstitialPneumonia #ILD
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... is seen in: - UIP ... HRCT #ChestCT #Differential ... #Table #Distribution
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... throughout the whole lung ... #Comparison #Chronic ... Fibrosis #Mimic #ILD
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... distribution - LIP ... presentations - ILD ... DCLD #pulmonary #Algorithm ... #Diagnosis #differential
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 β€’ Polysaccharide cell wall component of many fungi
 β€’ Pathogens:
BAL GM does not differentiate ... Positives: - Pip ... Clav (may be + as long ... setting of GVHD) ID ... Galactomannan #diagnosis #comparison