Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... interstitial lung disease ... interstitial lung disease ... #Pulmonary #CXR ... #Differential #
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... Diagnosis for Pulmonary ... , anti-CCP โ€ข CXR ... Renal #Syndrome #differential ... #diagnosis #nephrology
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... to look at the pattern ... more than one pattern ... respond to the treatment ... #Pulmonary #CXR
Miliary Pattern - Chest Radiology
 โ€ข Miliary opacities are scattered, small (1 -4 mm) nodules
 โ€ข
Miliary Pattern ... hematogenous spread of a disease ... Diagnosis of Miliary ... #diagnosis #pulmonary ... #CXR #clinical
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... , Severe Valve Disease ... โ€ข Obstructive: Pulmonary ... Embolism, Tension
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
embolism Pathophysiology ... regurgitation) Diagnosis ... mosaic parenchymal pattern ... Bypass Other Treatment ... have inoperable disease
Pulmonary Infections in HIV-AIDS
Bacterial: 
 โ€ข No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
CD4 > 200: Pulm embolism ... Evaluation: Imaging (CXR ... Infectious Diseases ... HIVAIDS #workup #diagnosis ... #evaluation #differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... โ€ข IF staining patterns ... Renal #Syndromes #differential ... #treatment
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... (II, III, AVF)(pattern
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Diagnosis: Causes ... Classicallyโ€ noted with pulmonary ... embolism (with ... restrictive lung disease ... #Summary #Nephrology