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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Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
: Interstitial lung ... ventilation (V) in the lungs ... : Pneumonia, asthma ... , COPD, pulmonary ... bypassing the lungs
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... β€’ Idiopathic pulmonary ... Acute, Chronic β€’ Pulmonary ... #differential #pulmonary ... #causes
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... caused by Sterptococcus ... pneumoniae. ... Radiology #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... weight loss or long ... include the list of causes ... caused by Streptcoccus ... #RadiologyAssistant
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura reflection) Pneumonia ... Possible small plural effusion ... pleura in severe cases ... Possible bilateral effusion
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Pneumonectomy β€’ Trapped lung ... Infectious: β€’ Pneumonia ... Malignancy β€’ Pulmonary
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
complex β€’ Nodular/Masses ... Actinomyces spp., NHL; Lung ... disease β€’ Pleural effusion ... Parapneumonic effusion ... (NHL, primary effusion
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea ... Parenchyma: β€’ Pneumonia ... β€’ Interstitial lung ... Pleura: β€’ Pleural effusion ... Diagnosis #Algorithm #Causes
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Lung Disease - ... Lymphangioleiomyomatosis (LAM), β€’ Pulmonary ... leaking out of pulmonary ... Diseases #ILD #Causes
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... indicates unknown cause ... involvement of the lung ... Diagnosis #Radiology #Pulmonary ... ILD #Findings #RadiologyAssistant