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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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... emphysema: no walls, central ... Cystic #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Central #Peripheral ... #RadiologyAssistant
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Diagnostic Testing and Evaluation ... Syncope #diagnosis #workup ... Effectiveness #table ... #comparison
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
macule and papule (Table ... Patients with centrally ... Those with centrally ... require emergent evaluation ... Rash #Algorithm #Central
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... thickening of the central ... Carcinomatosis #Mimic #Differential ... #Comparison #Table ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
β€’ Immunologic Workup ... cutaneous-DIL β€’ Evolution ... β€’ Immunologic Workup ... druginduced #lupus #sle #comparison ... #table #rheumatology
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
agent for rate control ... has failed to control ... to 6-8 hours to work ... management #treatment #comparison ... #table
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... periphery towards the centrum ... #CTChest #UIP #Comparison ... Fibrosis #Mimic #ILD #RadiologyAssistant
Hyperthermic Toxidromes
Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures.
 β€’ Sympathomimetic -
rhabdomyolysis, altered mental ... Hyperthermic #Toxidromes #comparison ... #table #diagnosis ... #differential #