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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Ocular Ultrasound Pocketcard
Painless Vision Loss
 β€’ Retinal Detachment 
 β€’ Posterior Vitreous Detachment 
 β€’ Vitreous
Ocular Ultrasound ... Globe Rupture β€’ Lens ... @Pocus101 #Ocular ... Ultrasound #pocus #differential ... #diagnosis #radiology
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... nodular septal ... #Diagnosis #Radiology ... Perilymphatic #Nodular ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential
Liver Mass Differential Diagnosis
Solid:
 β€’ Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
 β€’
Liver Mass Differential ... Diagnosis Solid ... Hemangioma, Focal nodular ... , Regenerative nodules ... #Radiology
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... centrilobular nodules ... #Diagnosis #Radiology ... NodularPattern #Nodular ... #Differential #
Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... interstitial opacities Nodule ... Solitary Pulmonary Nodule ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
centrilobular nodules ... narrowing the differential ... diagnosis. ... irregular and often nodular ... #Radiology #Pulmonary
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... Cystic #Cysts #Differential
Types of Melanoma
Superficial Spreading
 β€’ Most common form
 β€’ Often develops in previously benign mole
 β€’
all melanomas Nodular ... melanomas Uveal or Ocular ... mirror β€’ Early ocular ... Melanoma #Types #differential ... #diagnosis #classification
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
ophthalmology #neurology ... #differential # ... diagnosis #ocular