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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diagnosis management radiology renal syndrome acute alveolar ards clinical consolidation criticalcare emergencies hemeonc hemorrhage lobar miliary multifocal nephrology oncologic oncology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... chest to evaluate ... Goodpasture's cause ... CT ... • IF staining patterns
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern ... - Chest Radiology ... diagnosis #pulmonary ... #CXR #clinical ... #CT
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Definition: Diffuse ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy ... BAL → confirm DAH
Diagnosis and Management of Diffuse Alveolar Hemorrhage (DAH) Blood escaping through the capillary wall into the alveoli,
hemoptysis, anemia • Chest ... CT scan: diffuse ... Diagnosis #Management #Pulmonary ... #Differential # ... Causes
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
ARDS: Clinical Cheat ... Sheet An acute diffuse ... be detected on CT ... or CXR ● PaO2/ ... ARDS #Summary #CheatSheet
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
- Pus - exsudate ... to look at the pattern ... lobar pneumonia caused ... Diagnosis #Radiology #Pulmonary ... #CXR #Consolidation
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... Treat underlying cause ... day 3–10; 2–4 days ... renal failure, pulmonary
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