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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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... and cardiogenic pulmonary ... Diagnosis #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... Internet Book of Critical ... #Properties #Table ... #Pharmacology #
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
etiology of shock β€’ Distributive ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... hasankazmi01 #Vasopressors ... management #comparison #table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... - Indication: Distributive ... Cardiac ischemia #Vasopressors ... Inotropes #comparison #table ... #pharmacology #
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
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... Ang II" - Sepsis/distributive ... @EmmGeezee #Vasopressors ... summary #comparison #table ... #pharmacology #
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... perilymphatic distribution ... central dot. - LIP #Clinical ... Cystic #Cysts #Differential ... #Comparison #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
perilymphatic distribution ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... #Comparison #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Intractable vomiting Distributive ... flow) - Massive pulmonary ... DrEricStrong #Shock #Differential ... Classification #Table
Nail diseases and disorders.
 - Spoon Nails (Koilonychia)
 - Pitting of Nails
 - Beau's Lines
 -
Fingernail #Disorders #Differential ... #Leukonychia #Table ... #Clinical #PhysicalExam