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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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... there are four patterns ... nodular, high and low ... Diagnosis #Radiology #Pulmonary
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... diseases with a low ... attenuation pattern ... Diagnosis #Radiology #Pulmonary ... LowAttenuation #Differential
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... involvement, irregular pattern ... B-Cell ~90% β€’ Low ... Lymphoproliferative #Disorders #Classification ... #algorithm
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... non-specific, ESR usually low ... sparing of the lung ... hematuria, RBC casts, low ... β€’ IF staining patterns
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
zero WAVEFORM PATTERNS ... surface - Pattern ... the heart to the lung ... indicate: - Shock/low ... #patterns #diagnosis
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
Basic Interpretation ... the dominant HR-pattern ... consolidation) low ... Diagnosis #Radiology #Pulmonary ... #Algorithm #ILD
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... Disease #DCLD #pulmonary ... #Algorithm #Diagnosis ... #differential