Dr. Gerald Diaz @GeraldMD
32.7M 13.9K 7.4K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Causes of Pleural Effusions
#Diagnosis #Pulmonary #PleuralEffusions #Differential #Table #Transudative #Exudative
Effusions #Diagnosis #Pulmonary ... PleuralEffusions #Differential ... #Table #Transudative
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
and cardiogenic pulmonary ... Diagnosis #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
- Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution
Nail diseases and disorders.
 - Spoon Nails (Koilonychia)
 - Pitting of Nails
 - Beau's Lines
 -
Fingernail #Disorders #Differential ... #Leukonychia #Table ... #Clinical #PhysicalExam
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
The table lists ... the differential ... Diagnosis #Radiology #Pulmonary ... Consolidation #Differential
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... flow) - Massive pulmonary ... DrEricStrong #Shock #Differential ... Classification #Table
Pleural Manometry Summary
Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
Pleural Elastance during ... of re-expansion pulmonary ... using a syringe ... diagnosis #management #pulmonary ... #differential #
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
of the trachea during ... trachea #neck #physicalexam ... #pulmonary #respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
of the trachea during ... clinical #video #physicalexam ... #respiratory #pulmonary
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... hemorrhage) - Pulmonary ... #Hyponatremia #Differential ... #Diagnosis #Table