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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Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
adenopathy: M. tuberculosis ... Infectious Diseases ... ID_fellows #HIVAIDS ... #differential #diagnosis ... #chestCT #radiology
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
β€’ CD4 > 200: M.tuberculosis ... Evaluation: Imaging (CXR ... Blood and sputum cx ... #HIVAIDS #workup ... #diagnosis #evaluation
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Pattern - Chest Radiology ... Differential Diagnosis ... Mycobacterium: Tuberculosis ... #pulmonary #CXR ... #clinical #CT
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... spread of MTB infection ... drdevrad #Pulmonary #Tuberculosis ... #chest #xray #clinical ... #radiology #CXR
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
The differential diagnosis ... for tuberculosis ... #Clinical #PCC # ... Radiology #CXR # ... Oleothorax #NEJM
Cor triatriatum
 β€’ Epidemiology
 β€’ Etiology
 β€’ Associated Lesions
 β€’ Differentials Diagnosis
 β€’ Anatomy - Sinister,
Cor triatriatum ... Physiology β€’ Clinical ... β€’ Treatment ... GinaMPatel #Cor ... #management #cardiology
Tuberculin Skin Test Interpretation - Threshold for treatment
Induration cutoff >5mm:
 β€’ Recent exposure to an individual
Threshold for treatment ... TB β€’ Abnormal CXR ... Underweight β€’ Injection ... individuals #Tuberculosis ... SkinTest #TST #diagnosis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... vasculitis vs infection ... in literature (NEJM ... cases (Cornelia NEJM ... Treatment of GCA
Primairy TB is usually clinically silent.
In 5% of infected individuals the immunity is inadequate and clinically
TB is usually clinically ... of the latent infection ... On the CXR it is ... #Clinical #Radiology ... #CXR #Tuberculosis
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
Mycobacterium Tuberculosis ... and molecular diagnostic ... HIV-infected persons with clinical ... Mycobacterium #Tuberculosis ... #HIVAIDS #pharmacology