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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Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... β€’ Labs: CBC, cr ... , anti-CCP β€’ CXR ... high resolution chest ... #differential #
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 ... Here is his original ... ChestXRay #Clinical #Pulmonary
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern - Chest ... , Sarcoidosis, HSP ... Miliary #Pattern #Chest ... #diagnosis #pulmonary ... #CXR #clinical
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: β€’ CT chest ... typically seen on chest ... #differential # ... diagnosis #management ... #treatment
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... ARDS: Clinical Cheat ... leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... Dehydration Shock Treatment ... #management
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
bronchograms (atelectasis has ... Respiratory Distress Syndrome ... submassive PE) POCUS ... #differential # ... #signs #Lung #POCUS
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
to infections (HPV ... (Goodpasture's syndrome ... Renal #Transplant #differential ... #blood #urine #management ... #treatment #nephrology
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
Intensivist's One-Page Cheat-Sheet ... as data on new treatment ... symptoms Imaging β€’ CXR ... unilateral* β€’ POCUS ... Cheatsheet #Diagnosis #Management
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
two occasions 4 hrs ... insufficiency (Cr ... ), pulmonary edema ... patients β€’ HELLP: Syndrome ... obstetrics #cardiology #differential