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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Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern - Chest ... throughout the lungs ... rarely typical pneumonia ... Miliary #Pattern #Chest ... #CXR #clinical
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... On a Chest X-Ray ... is interstitial lung ... detected on a chest
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... production, pleuritic chest
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
LESIONS - Bacterial pneumonia ... - Viral pneumonia ... Patterns #Pulmonary #Lung ... ComputedTomography #Differential ... #Diagnosis #Chest
Typical COVID19 chest x-ray versus normal. The image on the right shows multi-focal patchy airspace opacities.
Typical COVID19 chest ... don't look at chest ... image are the lungs ... The "stuff" is pneumonia ... #CXR #Clinical
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... Evaluation: Imaging (CXR ... /- High res CT chest ... HIVAIDS #workup #diagnosis ... #evaluation #differential
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
ARDS: Clinical Cheat ... , inflammatory lung ... detected on CT or CXR ... oxygenation in pneumonia ... Summary #CheatSheet #Diagnosis
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... evaluation - Chest ... X-ray - Lung ultrasound ... - CBC with differential ... algorithm #schema #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Elasticity (flail chest ... Atelectasis, ARDS, Pneumonia ... Hypoxia #hypoxemia #differential ... #diagnosis
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
lucencies within the lung ... we describe a chest ... visible wall #CXR ... #Lucency #Differential ... #Pulmonary #Diagnosis