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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Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
congenital heart disease ... hypertension; CXR ... veno-occlusive disease ... , chronic lung disease ... #Hypertension #Workup
Common Biliary Diseases seen in the Emergency Room - Comparison Table:

Clinical Features, Labs, Imaging and Treatment

#Diagnosis
Common Biliary Diseases ... Emergency Room - Comparison ... Table: Clinical ... Labs, Imaging and Treatment ... #Diagnosis #Management
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Peripheral edema, Disease-specific ... vasculitis, Behcet disease ... Goodpasture's Disease ... dysmorphic RBCs) β€’ Disease-specific ... , anti-CCP β€’ CXR
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Clinical triad ... cancers β€’ Systemic diseases ... autoinflammatory diseases ... AdultOnset #Stills #Disease
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
Presentation: β€’ Mild disease ... Meningitis β€’ Weil's Disease ... failure β€’ Severe pulmonary ... disease ARDS Diagnosis ... #treatment #management
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 β€’ Disease fatal in 10% of
inflammatory cells) Clinical ... : β€’ Disease fatal ... polyarthritis β€’ Pulmonary ... exertion β€’ Neurologic ... #Sarcoidosis #Diagnosis
Korsakoff Syndrome
Clinical Findings:
 β€’ Confabulation: Usually initial phase of the disease
 β€’ Anterograde amnesia: Memory impairment
Korsakoff Syndrome Clinical ... initial phase of the disease ... Encephalopathy Treatment ... Korsakoff #Syndrome #neurology ... #diagnosis
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
the most common diseases ... Chronic diseases ... obvious that some diseases ... These diseases typically ... #Pulmonary #CXR
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... mononeuritis multiplex WORKUP ... & DIAGNOSIS Labs ... #management #treatment
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... Evaluation: Imaging (CXR ... Infectious Diseases ... Infections #HIVAIDS #workup ... #diagnosis #evaluation