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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treatment radiology ards cardiology checklist chestxray criticalcare fungal workup abscess acute algorithm anesthesia anesthesiology arteritis betadglucan biomarkers cancer capsulatum cardiomyopathy
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... • Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... Summary #CheatSheet #Diagnosis
ARDS/VALI progression over the course of 1 week (a) Day 1 - No pathological findings.
involvement, with “white lung ... structures help in the differential ... diagnosis of pulmonary ... #Clinical #Radiology ... #CXR #ChestXRay
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan Beta-D-Glucan: • Polysaccharide cell wall component of many fungi • Pathogens:
cut-offs defined in clinical ... BAL GM does not differentiate ... Clav (may be + as long ... Galactomannan #diagnosis ... #comparison
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Respiratory Failure - Differential ... Diagnosis Framework ... respiratory drive due to neurologic ... Failure #hypoxia #Differential ... #Diagnosis #pulmonary
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
CD4 < 200: PCP, Aspergillus ... failure, COPD, Lung ... Evaluation: Imaging (CXR ... HIVAIDS #workup #diagnosis ... #evaluation #differential
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
and Management ... immunosuppression (eg ... HIV/AIDS, CGD) Clinical ... presentations: • Pulmonary ... #Management #treatment
Pleural Manometry Summary Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
and entrapped lung ... intermittently (e.g ... Pleural #Manometry #diagnosis ... #management #pulmonary ... #differential #
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
throughout the lungs ... inhalational injury Differential ... Diagnosis of Miliary ... #diagnosis #pulmonary ... #CXR #clinical
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) • CBC w differential ... recent DAN) • EMG ... sparing of the lung ... Renal #Syndromes #differential ... #diagnosis #management
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