Dr. Gerald Diaz @GeraldMD
23.0M 13.7K 7.2K
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 ... @Pocus101 #Ocular ... #Ultrasound #pocus ... #differential # ... diagnosis #radiology
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 ... #Diagnosis #hepatology ... #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 ... diagnosis of perilymphatic ... #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... #Differential #
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
hemangioma, Focal nodular ... CT #MRI #POCUS #radiology ... #differential # ... diagnosis #comparison ... table #appearance #hepatology
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... Cystic #Cysts #Differential
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Diagnosis? ... Management? ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology
β–Ί
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... 's female with chest ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... A4c #clinical #cardiology
β–Ί
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... intolerance β€’ Chest ... Abnormal ECG, echocardiogram ... cardiac death Management ... #Management #Cardiology
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 ... diagnosis. ... irregular and often nodular ... #Radiology #Pulmonary ... #CTChest #TreeInBud
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... evaluation - Chest ... X-ray - Lung ultrasound ... - CBC with differential ... indicated (e.g. echocardiogram