Dr. Gerald Diaz @GeraldMD
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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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diagnosis differential infectiousdiseases radiology clinical comparison emergencies hematology radiologyassistant syndromes abnormal abscess acute addiction algorithm anaphylaxis anesthesia anesthesiology ards aub
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... meropenem) #Lung ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... there is no clear cause
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
• Most common cause ... media • Important cause ... Physical Exam, CXR ... Specificity of 97%) Treatment ... #diagnosis #management
Hantavirus Pathogen: Hantavirus - Rodents are the primary reservoir Transmission: • Shed in the urine, feces, saliva of
barns and lake houses ... Cardiopulmonary Syndrome ... • Autopsy PCR Treatment ... Hantavirus #diagnosis #management ... #treatment #microbiology
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... low attenuation (table ... is interstitial lung ... seen and in many cases ... Diagnosis #Radiology #Pulmonary
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
lucencies within the lung ... since in many cases ... visible wall #CXR ... #Differential #Table ... #Pulmonary #Diagnosis
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Cirrhosis Syndrome ... carcinoma of the lung ... hemorrhage) - Pulmonary ... Differential #Diagnosis #Table ... #Causes #Sodium
Ventilator Troubleshooting Summary High PIP, nl Pplat: - DDx: Tubing problem, Bronchospasm, Secretions - Next Steps: Check
Next Steps: BS, CXR ... DDx: Obstructive lung ... Treat underlying cause ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
non-productive cough, nausea ... failure • Severe pulmonary ... Leptospirosis #Leptospira #microbiology ... #diagnosis #treatment ... #management
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , dyspnea, +/- CXR ... organ damage • Treatment ... acid, Elevated Cr ... TLS #diagnosis #management
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