Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... nodules and the nodular ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #Differential #
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... hepatitis • Pulmonary ... • Ocular: uveitis ... Disease #diagnosis #management ... #treatment #rheumatology
Uveitis - Definition, Causes and SUN Classification

Inflammation of the iris, ciliary body, vitreous, retina and/or choroid
Incidence
Inflammation of the iris ... blindness, linked to macular ... Classification #Differential ... Ophthalmology #Rheumatology
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
narrowing the differential ... irregular and often nodular ... Pathophys #Radiology #Pulmonary ... #CTChest #TreeInBud
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... histiocytosis: early nodular ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... NodularPattern #Nodular ... MultipleNodules #Nodules #Differential
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Tamponade • Flail Chest ... Esophageal Injury • Pulmonary ... Trauma #diagnosis #management ... #injuries #differential
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Features That Differentiate ... Infarction and Pulmonary ... myocardial ischemia, chest ... associated with rheumatologic ... it difficult to differentiate
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Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... Varicella–Zoster virus NODULAR ... #CT #Patterns #Pulmonary ... ComputedTomography #Differential ... #Diagnosis #Chest
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) • CBC w differential ... Other tests: • CT chest ... typically seen on chest ... Renal #Syndromes #differential ... #diagnosis #management