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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Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 β€’ Homogeneous pattern: 
   -
Antinuclear Antibody Testing ... SLE, SjS, CTD-ILD ... ribaviron combination therapy ... Antinuclear #Antibody #Testing ... #differential #
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Microbiologic-Testing ... Microbiologic-Testing ... overgrowth If above testing ... PTLD, GVHD or IBD ... Empiric therapy
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
- Number one cause ... -> Serological Testing ... -> Serological Testing ... -> Serological Testing ... #Algorithm
Antinuclear Antibody Testing Cytoplasmic Patterns
Reticular/AMA: 
 β€’ PBC, SSc, PBC/SSc OS, PBC/SjS OS
 β€’ AMA
Speckled:
 β€’
Antinuclear Antibody Testing ... SLE, SjS, CTD-ILD ... ribaviron combination therapy ... Antinuclear #Antibody #Testing ... #differential #
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... presenting with chest/abd ... at onset β€’ Tearing ... Pulse deficit/differential ... Dissection #diagnosis #management
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
Preventing and Treating ... histoplasmosis (>10 cases ... 150 cells/mm3 Treating ... for 3 days, then BID ... Prevention #Treatment #management
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 β€’ Obturator - inserted into
prevents speech & eating ... This can cause life-threatening ... Surgical management ... Emergencies #diagnosis #differential ... #management #pulmonary