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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Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if concern for nodular ... thyroid disease ... Graves disease – ... Check pregnancy test ... workup choices AND management
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... interstitial lung disease ... patterns: reticular, nodular ... appreciate on a cest ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Behcet's Syndrome - Diagnosis
Diagnostic Criteria for Behget's Syndrome (International Study Group for Behget's Disease):
 β€’ Recurrent,
Behcet's Syndrome - Diagnosis ... Diagnostic Criteria ... Abnormal pathergy test ... Most Common Clinical ... #Diagnosis #criteria
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication β†’ Pre-test Probability β†’ Spectrum of Disease β†’
β†’ Spectrum of Disease ... Ratio Step 1: Clinical ... with a focused clinical ... Stewardship #ultrasound #management ... #diagnosis
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 ... Differential Diaqnoses ... β€’ Ocular: uveitis ... #diagnosis #management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
ARDS Diagnosis ... Epidemiologic exposure + clinical ... agglutination - test ... #microbiology #diagnosis ... #treatment #management
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
the left some diseases ... with a nodular ... #Clinical #Diagnosis ... Pulmonary #CTChest #Nodular ... Comparison #Table #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
a cystic lung disease ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Pott's Disease in ... and Management ... extrapulmonary cases Clinical ... tissue damage - CXR ... CMC_IM #Potts #Disease