Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... chest scan), CBC/diff ... Diseases Fellows ... #workup #diagnosis ... #evaluation #differential
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... Diaqnoses: • ... Infectious: Mycoplasma ... hepatitis • Pulmonary ... #treatment #rheumatology
IDSA Recommendations for Preventing and Treating Varicella Zoster Virus (VZV) Infections in HIV-AIDS
Pre-Exposure Prevention of VZV
IDSA Recommendations ... health-care provider diagnosis ... confirmation of disease ... #Zoster #VZV #IDSA ... #Prevention #Treatment
IDSA Recommendations for Treating Coccidiodomycosis in HIV-AIDS
Treating Mild Infections (Such As Focal Pneumonia or asymptomatic patients
IDSA Recommendations ... (Diffuse Pulmonary ... Extrathoracic Disseminated Disease ... Coccidiodomycosis #IDSA ... #Prevention #Treatment
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... respond to the treatment ... #Pulmonary #CXR ... #Table #RadiologyAssistant
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... confirm DAH, r/o infection ... Renal #Syndromes #differential ... #treatment
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Eosinophilic Lung Diseases ... , CNS, skin • Infectious ... #pulmonary #differential ... #diagnosis #comparison ... #table #eosinophilia
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 •
IDSA Recommendations ... for Preventing ... Severe Disseminated Disease ... with ARV (see Table ... #Prevention #Treatment
Tree-in-bud almost always indicates the presence of:
Endobronchial spread of infection (TB, MAC, any bacterial bronchopneumonia)
Airway disease
associated with infection ... primarily with mucus retention ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #TreeInBud #Differential
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
Clarkson’s Disease ... filling +++ (risk of pulmonary ... flares: • Prevention ... of infections) ... leak #syndrome #diagnosis