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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Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Cystic Lung Disease ... nickmmark #Cystic #Lung ... #Disease #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 ... (HPS) HPS-differential ... Pulmonary vasculature ... Diseases of the lung ... Hepatopulmonary #Syndrome
Hemoptysis - Differential Diagnosis Framework
Airways: 
 β€’ Bronchitis
 β€’ Bronchiectasis
 β€’ Malignancy: Primary bronchogenic CA, Endobronchial
Hemoptysis - Differential ... Diagnosis Framework ... westermani, PNA, Lung ... , Idiopathic pulmonary ... #Diagnosis #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Respiratory Distress Syndrome ... sliding Pulmonary ... #differential # ... diagnosis #signs
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea - Differential ... Diagnosis Algorithm ... Superior vena cava syndrome ... β€’ Interstitial lung ... #Diagnosis #Algorithm
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Pleural Effusion - Differential ... Diagnosis Algorithm ... Pneumonectomy β€’ Trapped lung ... Malignancy β€’ Pulmonary ... #Diagnosis #Algorithm
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 ... Diseases #ILD #diagnosis ... #differential # ... pulmonary #causes
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
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
Small Vessel Vasculitides
 β€’ Granulomatosis with polyangiitis - Granulomatous manifestations (e.g., nasal crusting, destructive sinusitis, pulmonary
destructive sinusitis, pulmonary ... - Interstitial lung ... and Sjogren's syndrome ... Vasculitides #vasculitis #differential ... #diagnosis