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 of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... : round cysts, evenly ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #LAM
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Scapholunate Dissociation ... follow-up with orthopedics ... Scaphoid #Carpal #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Complex, involve orthopedics ... Complex, pending orthopedic ... #Posterior #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... bizarre shaped cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Pattern #Comparison
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
(LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... LowAttenuation #Cystic ... #Pattern #Comparison
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Anterior Shoulder Dislocation ... 95% of shoulder dislocations ... #Anterior #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Perilunate Dislocation ... Disposition: Pending orthopedic ... Wrist #Carpal #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Interphalangeal Joint Dislocation ... Discharge with orthopedic ... #IPJoint #Radiology ... Management #Hand #Orthopedics ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
: Scapholunate dissociation ... , perilunate dislocation ... follow-up with Orthopedics ... Wrist #Carpal #Radiology ... #Sports #MSK