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
Upper lung zone ... bronchiolitis (RB-ILD ... 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 Upper ... colitis, UC/Chrons (IBD ... #differential # ... diagnosis #Causes #algorithm
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... fatigue despite clinical ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Lower abdominal ... Diagnosis/differential ... Answer: Pt has IUD ... Pelvis #Ultrasound #clinical
β–Ί
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Subacute stage: - RB-ILD ... seen in smokers, upper ... UIP has a strong lower ... #Clinical #Diagnosis ... Fibrosis #Mimic #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 ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
smoker with RB-ILD ... emphysema in the upper ... there is a broad differential ... first think RB-ILD ... RespiratoryBronchiolitis #ILD
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... cavities in an upper ... presentations - ILD ... DCLD #pulmonary #Algorithm ... #Diagnosis #differential
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Clinical β€’ Under-recognized ... during Delivery β€’ Stable ... Avoid ARBs β€’ ICD ... support for patients clinically