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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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... Pulmonary #HRCT #ChestCT ... #Differential # ... Table #Distribution ... #Upper #Lower #
Normal Hilar Anatomy on Chest X-Ray
The hilum is 95% vessels and while it is not important
Hilar Anatomy on Chest ... possible to be able ... bronchus LUL - left upper ... bronchus LLL - left lower ... Hilar #Anatomy #Chest
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
myocardial ischemia, chest ... nitrates.2 Acute chest ... although pleuritic chest ... Dull, oppressive chest ... life-threatening causes of chest
β–Ί
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... flow from the lower ... redistribution applies to chest ... practice many chest ... In these cases comparison
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
14th CXRs 2-view chest ... mSv 765 CXRs Upper ... mSv 200 CXRs Chest ... #CT #Nuclear #Comparison ... #Table #Risks #
Radiation Dose to Adults from Common Imaging Examinations
ABDOMINAL REGION
 - Computed Tomography (CT) β€” Abdomen and
Barium Enema (Lower ... mSv 3 years - Upper ... 6 mSv 2 years CHEST ... Tomography (CT) β€” Chest ... mSv 6 months - Chest
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... thorough "lawn-mower ... - CBC with differential ... iBookCC #COVID19 #algorithm
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... seen in smokers, upper ... UIP has a strong lower ... Diagnosis #Radiology #CTChest ... #UIP #Comparison
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
suspected) - CT chest ... allopurinol 300 mg BID ... compression: - Lower-extremity ... swelling, dyspnea, upper-extremity ... 100 000 (can be lower
Subglottic stenoses (SGS) during systemic diseases
Subglottic stenosis (SGS) = congenital (children) or acquired (adult) characterized by
narrowing of the upper ... vocal cords to the lower ... β€’ Cervical and chest ... systemic #diseases #differential