Dr. Gerald Diaz @GeraldMD
30.8M 13.9K 7.3K
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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Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Cystic Lung Disease ... Ehlers-danlos Syndrome ... nickmmark #Cystic #Lung ... #differential #diagnosis ... #causes #pulmonary
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 ... Pulmonary vasculature ... Diseases of the lung ... Hepatopulmonary #Syndrome ... HPS #hepatology #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... ) Cardiogenic Pulmonary ... Respiratory Distress Syndrome ... sliding Pulmonary ... #differential #diagnosis
Hemoptysis - Differential Diagnosis Framework
Airways: 
 β€’ Bronchitis
 β€’ Bronchiectasis
 β€’ Malignancy: Primary bronchogenic CA, Endobronchial
- Differential Diagnosis ... westermani, PNA, Lung ... , Idiopathic pulmonary ... #Differential #Diagnosis ... #pulmonary #causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
- Differential Diagnosis ... Pneumonectomy β€’ Trapped lung ... Malignancy β€’ Pulmonary ... Pleural #Effusion #Pulmonary ... #Diagnosis #Algorithm
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
4 - Fibrosis Pulmonary ... chylothorax, and pulmonary ... sarcoid Lofgren Syndrome ... polyarthralgias Heerfordt syndrome ... #Sarcoidosis #Diagnosis
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
β€’ Idiopathic pulmonary ... Churg Strauss syndrome ... Acute, Chronic β€’ Pulmonary ... Diseases #ILD #diagnosis ... #differential #pulmonary
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... Superior vena cava syndrome ... Pneumonia β€’ Pulmonary ... β€’ Interstitial lung ... #Differential #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... Embolism, Obstructive Lung ... , Interstitial Lung ... #differential #diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... : Interstitial lung ... hepatopulmonary syndrome ... #Differential #Diagnosis