Dr. Gerald Diaz @GeraldMD
31.1M 13.9K 7.3K
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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1654 results
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
most common) Clinical ... , hemoptysis Treatment ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... regurgitation) Diagnosis ... defects β€’ Confirm diagnosis ... Bypass Other Treatment ... Thromboendarterectomy #diagnosis
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
failure β€’ Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #microbiology #diagnosis ... #treatment #management
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... U/S expediting diagnosis ... treatment and transfer ... ultrasound_vcu #Pulmonary ... Echocardiogram #s4c #clinical
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Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Differential Diaqnoses ... hepatitis β€’ Pulmonary ... Stills #Disease #diagnosis ... #management #treatment
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
Relapsing-remitting course +++ Clinical ... β€’ No effective treatment ... filling +++ (risk of pulmonary ... edema) Treatments ... leak #syndrome #diagnosis
Altitude Sickness: Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema
High Altitude Pulmonary ... Edema (HAPE) Clinical ... Elevation, Timing, Treatment ... AMS #HACE #HAPE #Diagnosis
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Aspergillus (IA) - Diagnosis ... HIV/AIDS, CGD) Clinical ... presentations: β€’ Pulmonary ... this morphology Treatment ... #Management #treatment
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
The differential diagnosis ... her history of treatment ... oleothorax β€” a treatment ... for pulmonary tuberculosis ... #Clinical #PCC #
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... drain - What’s the diagnosis ... Fusobacterium Treatment ... #PhysicalExam #clinical ... #video #pulmonary
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