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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Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... Diagnosis Framework ... obesity-hypoventilation syndrome ... hepatopulmonary syndrome ... #Diagnosis #pulmonary
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Diagnosis β€’ Hyperacute ... Hemorrhage β€’ Impaired Diffusion ... Hypoxemia #hypoxia #Differential ... #Diagnosis #causes
Causes of Hemoptysis - BATTLE CAMP Mnemonic:

Bronchitis 
Bronchiectasis 
Aspergilloma 
Tumor 
Tuberculosis 
Lung abscess 
Emboli (pulmonary) 
Coagulopathy
Tuberculosis Lung ... abscess Emboli (pulmonary ... malformation Alveolar ... #Differential # ... Diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Respiratory Distress Syndrome ... #differential # ... diagnosis #signs ... #Lung #POCUS #ultrasound
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Pneumonectomy β€’ Trapped lung ... #Pulmonary #Diagnosis
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Pulmonary vasculature ... Diseases of the lung ... Alveolar-arterial
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea ... - Differential ... Superior vena cava syndrome ... β€’ Interstitial lung ... Pleura: β€’ Pleural effusion
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
alveolar proteinosis ... /Masses: M.tuberculosis ... Actinomyces spp., NHL; Lung ... #diseases #differential ... #diagnosis #chestCT
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... , Interstitial Lung ... Hypoxia #hypoxemia #differential ... #diagnosis
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
TB, Mycetoma, Alveolar ... Hemorrhage, Lung ... Primary Vascular: Pulmonary ... Intubation 2) Bad Lung ... #pulmonary #criticalcare