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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Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... hypertension; CXR ... , chest X-ray; HPAH ... ; CLD, chronic lung ... #Diagnosis #Peds
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... β€’ Labs: CBC, cr ... , anti-CCP β€’ CXR ... high resolution chest ... #differential #diagnosis
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... detected on CT or CXR ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... disease comes from ... disease and what ... #Pulmonary #CXR
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... disease. ... is a possible diagnosis ... airways leading to pulmonary ... Clinical #Radiology #CXR
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Next Steps: BS, CXR ... DDx: Obstructive lung ... disease, Insufficient ... Troubleshooting #diagnosis ... #management #pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... life-threatening diseases ... Inflammatory eye disease ... sparing of the lung ... #management #treatment
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
throughout the lungs ... hematogenous spread of a disease ... Differential Diagnosis ... #differential #diagnosis ... #pulmonary #CXR
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
, Severe Valve Disease ... β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... #criticalcare # ... algorithm #treatment #management