Dr. Gerald Diaz @GeraldMD
39.9M 14.2K 7.5K
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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Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... β€’ CD4 < 200: Pulmonary ... Evaluation: Imaging (CXR ... /- High res CT chest ... ID_fellows #Pulmonary
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern - Chest ... Opacities: β€’ Infectious ... Nocardia, zoonotic infections ... differential #diagnosis #pulmonary ... #CXR #clinical
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
allopurinol), Infection ... β€’ Labs: CBC, cr ... , anti-CCP β€’ CXR ... high resolution chest ... DAH, rule out infection
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... spread of MTB infection ... #TB #Patterns #chest ... #xray #clinical ... #radiology #CXR
IDSA Recommendations for Preventing and Treating Chagas Disease (American Trypanosomiasis) in HIV-AIDS
Preventing Clinical Disease
Indication:  Individuals
Clinical Disease ... Disease Note: Treatment ... clinical manifestation ... #Treatment #management ... opportunistic #infections
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
most common) Clinical ... , hemoptysis Treatment ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... Garland #Triad #Chest ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Bronchopneumonia Consolidation Pattern on Chest X-Ray

Patchy areas of consolidation that may be initially limited to one
Consolidation Pattern on Chest ... to one or more pulmonary ... Consolidation #Pattern #Chest ... #XRay #CXR #clinical
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
Air-Fluid Level on Chest ... latent TB s/p treatment ... and pleuritic chest ... #ChestXRay #Clinical ... #Pulmonary #Radiology
Normal Hilar Anatomy on Chest X-Ray
The hilum is 95% vessels and while it is not important
Hilar Anatomy on Chest ... possible to be able ... branches and the pulmonary ... intermedius LPA - left Pulmonary ... #XRay #CXR #clinical