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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Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
Approach to the diagnosis ... Consider additional test ... Consider additional test ... cHP = chronic hypersensitivity ... algorithm #HP #ILD
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
The diagnosis based ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... CHD, congenital ... bronchopulmonary dysplasia; CLD ... liver function test ... #Diagnosis #Peds
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
- Differential Diagnosis ... CV/Resp/Heme: CHF ... valves, COPD, ILD ... Rhabdomyolysis, Critical ... #Differential #Diagnosis
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 β€’ EM appears 7-14 days at the
Early and Late Clinical ... - Normal CSF ... - CSF + Lyme ... Washington University ID ... Lyme #Disease #diagnosis
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... comparison with old ... during a period of CHF ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... #Clinical #Diagnosis ... Comparison #Table #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
present as multiple ill-defined ... can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
Presentation: β€’ Mild ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... agglutination - test ... #microbiology #diagnosis