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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26 results
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Resonance Imaging (MRI ... #POCUS #radiology ... #differential # ... diagnosis #comparison #table
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 β€’ Eccentric soft-tissue densities surrounding the third proximal interphalangeal
sequence: Variable appearance ... prior signs or clinical ... Differential diagnosis ... Can have similar appearance ... disproportionately narrowed and diffuse
Extrapulmonary manifestations of sarcoidosis.
a. Endobronchial cobblestones (a nodular appearance of the tracheal wall mucosa). 
b. Diffuse
cobblestones (a nodular appearance ... Diffuse reddish ... enhancement (arrow) on MRI ... MRI scan showing ... manifestations #clinical
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Progressive URI ... Differential Bilat ... , interstitial diffuse ... #clinical #ultrasound
β–Ί
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
Progressing to diffuse ... with β€œwhite lung” appearance ... structures help in the differential ... #Clinical #Radiology
To get the most out of the sediment examination it is important to approach it in
an idea of the clinical ... the macroscopic appearance ... compartments (Table ... InjurySite #Findings #Differential ... #Table
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes Clinical ... Descents, Rales,+S4, MR ... Echocardiography, Cardiac MRI ... Diagnosis #Causes #differential ... #cardiology #algorithm
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... Echocardiogram #A4c #clinical
β–Ί
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
TB: Tree-in-bud appearance ... #Clinical #Diagnosis ... NodularPattern #Differential ... #Comparison #Table
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
and Management Algorithm ... facial paralysis *Differential ... Moderate-Severe OFG, MRS ... β€’ Snail track appearance ... Resolve w Rx of IBD Algorithm