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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Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Pulmonary vasculature ... Hepatopulmonary #Syndrome ... #pulmonary #diagnosis
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
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Pulmonary Renal ... - Differential ... , atypical HUS, ... Kumfer @AnnKumfer #Pulmonary ... #Mimics #Differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Differential/diagnosis ... Pulmonary embolism ... Echocardiogram #A4c #clinical
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Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Syndrome Definition ... symptomatology Differential ... high resolution chest ... #differential #
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
POCUS Pulmonary ... coughed and now his ... drain on POCUS ... #clinical #video ... #POCUS #pulmonary
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Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) β€’ CBC w differential ... Other tests: β€’ CT chest ... typically seen on chest ... #differential # ... diagnosis #management #treatment
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... CXR #Comparison #Clinical ... #Lung #Pulmonary ... #Clinical
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Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Weakness, Loss of Chest ... Elasticity (flail chest ... Hepatopulmonary Syndrome ... Hypoxia #hypoxemia #differential
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome ... episode of severe chest ... His vitals are T ... #Wellens #Syndrom ... Electrocardiogram #Clinical
A 70 year old was presented to the urgent care center with severe retrosternal chest pain
severe retrosternal chest ... and a cardiac POCUS ... showed a classic syndrome ... 2017-02-01p2-3/ #Clinical ... #POCUS #Echocardiogram
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