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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Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... carcinoma of the lung ... pathology (e.g. ... #Diagnosis #Table
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Diagnosis Framework ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... #Diagnosis #pulmonary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... objective assessmentβ€œ (e.g ... #ARDS #Summary ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... centrilobular emphysema - Respiratory ... edema #Diagnosis ... HRCT #ChestCT #Differential ... #Table #Distribution
Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... - Syncope Syndromes ... #ECG #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Differential Diagnosis of Wheezing
 β€’ Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
Differential Diagnosis ... wheezing Is typically inspiratory ... Parasitic infection (e.g ... Churg-Strauss syndrome ... #pulmonary
Small Vessel Vasculitides
 β€’ Granulomatosis with polyangiitis - Granulomatous manifestations (e.g., nasal crusting, destructive sinusitis, pulmonary
manifestations (e.g ... destructive sinusitis, pulmonary ... - Interstitial lung ... and Sjogren's syndrome ... #diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... severity Acute Respiratory ... Distress Syndrome ... #differential # ... diagnosis #signs
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
pneumonia (COP), Respiratory ... Churg Strauss syndrome ... Diseases #ILD #diagnosis ... #differential # ... pulmonary #causes
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... consistent with pulmonary ... lobar collapse, lung ... Definition #Criteria #Diagnosis ... #CriticalCare