Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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 #
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... colitis, UC/Chrons (IBD ... #differential # ... #algorithm
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
- Pain (back, chest ... depending on the cause ... Spondyloarthritis, IBD ... Diagnosis #Workup #Differential ... #Causes
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 ... with old fims can
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... of Dyspnea - Differential ... Diagnosis Pulmonary/Chest ... Asthma attack, ILD ... , COPD, CTEPH, ILD
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 ... seen in smokers, upper ... UIP has a strong lower ... Fibrosis #Mimic #ILD
On the left a chest film of a patient with UIP due to IPF.
The findings on
On the left a chest ... findings on the chest ... reticular densities caused ... Whenever you see a chest ... Pneumonitis #Reticular #ILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
random) Is there an upper ... versus lower zone ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Rare Causes of Abdominal Pain
 β€’ Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... associated with mild ... in the knee-to-chest ... purpura of the lower ... Abdominal #Pain #differential
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
On the left a chest ... findig on the chest ... this pattern was caused ... The upper lobe predominance ... Radiology #CXR #CTChest