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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radiologyassistant clinical diagnosis differential management pattern cxr hrct nodular altitude alveolar alveolaredema ams antifungals attenuation brain carcinomatosis cardiology cardiomyopathy cephalization
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
bronchiolitis in infection ... #Clinical #Radiology ... #HRCT #CTChest ... Nodular #Pattern #Comparison ... #Table #RadiologyAssistant
Stage I - Redistribution In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
TRALI vs TACO - Transfusion Reactions TRALI: • Epidemiology: 0.1% of transfused patientsl • Risk factors: Critical
: 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... hematology #diagnosis #comparison ... #table
Altitude Sickness: Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema
High Altitude Pulmonary ... Elevation, Timing, Treatment ... and Prevention ... Management #Elevation #Comparison ... #Table
Differential diagnosis of Lymphangitic Carcinomatosis. On the left multiple diseases showing septal thickening: 1. Lymphangitic carcinomatosis: irregular
Cardiogenic pulmonary ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Approach to Eosinophilic Lung Diseases • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Hx of asthma, CF ... , CNS, skin • Infectious ... Lung #Diseases #pulmonary ... differential #diagnosis #comparison ... #table #eosinophilia
Tree-in-bud almost always indicates the presence of: Endobronchial spread of infection (TB, MAC, any bacterial bronchopneumonia) Airway disease
Endobronchial spread of infection ... associated with infection ... primarily with mucus retention ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Notice that even within each lobe there is a gravity dependent difference in density. This is only
transudate like in CHF ... exsudate due to infection ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... May have typical HF ... during Delivery • Stable ... months before 1° prevention ... #treatment
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