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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Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
during medical evaluation ... glucocorticoid treatment ... signs or symptoms (eg ... Disorders #Algorithm #Differential ... #diagnosis #hematology
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia (COP), chronic ... eosinophilic pneumonia ... #Diagnosis #Radiology ... #ChestCT #Differential ... #Table #Distribution
Approach to Eosinophilic Lung Diseases
 β€’ Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
cough, SOB β€’ Chronic ... Lung #Diseases #pulmonary ... #differential # ... diagnosis #comparison ... #table #eosinophilia
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... respond to the treatment ... eosinophilic pneumonia ... #Pulmonary #CXR
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
very important to differentiate ... diagnosis. ... eosinophilic pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CXR
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
- Eosinophilic ... PNA (acute or chronic ... Others: - Pulmonary ... NonResolving #Pneumonia #diagnosis ... #pulmonary #differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), EGPA (eosinophilic ... mononeuritis multiplex WORKUP ... (check eosinophil ... recent DAN) β€’ EMG ... #treatment
Chronic Diarrhea - Workup
Osmotic:
 β€’ Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... - Workup Osmotic ... #Diarrhea #Workup ... #diagnosis #differential ... #testing #evaluation
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
in particular) Evaluation ... : Imaging (CXR ... Infections #HIVAIDS #workup ... #diagnosis #evaluation ... #differential #
Scleroderma Like Conditions - Differential Diagnosis
Eosinophilic Fasciitis:
 - Orange peel induration (peau d'orange) of proximal extremities
Like Conditions - Differential ... Diagnosis Eosinophilic ... the mainstay of treatment ... frequent in men Chronic ... #table #dermatology