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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Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
, hemoptysis Treatment ... β€’ Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Secondary to chronic lung ... β€’ Hypoxia β€’ Pulmonary ... β€’ Oxygen β€’ Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... #Differential # ... #Table #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... β€’ Obstructive: Pulmonary ... Treatment Goals ... ) UOP > 0.5 cc/kg
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
The table lists ... the differential ... diagnosis. ... #Pulmonary #CXR ... Consolidation #Differential
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... carcinoma of the lung ... hemorrhage) - Pulmonary ... #Diagnosis #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... is interstitial lung ... #Pulmonary #CXR
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis ... #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... (eg, acute valvular ... #NormalValues #Differential ... #Table #Chambers
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Evaluation - EKG ... function tests if shock ... 1 β€” Treat the lungs ... Revascularization, treatment