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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11 results
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
the body louse, causes ... Northeast Africa with cases ... Several cases have ... been associated ... LBRF can be diagnosed
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... suggests extra-renal causes ... consumption β€’ Low ... #Hypokalemia #diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Algorithm β€’ Blood ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... #Causes #Fe #algorithm
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
bowel syndrome (IBS ... lBS-diarrhoea (IBS-D ... of incomplete evacuation ... - Associated ... #Classes #Diagnosis
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated ... consider other diagnosis
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
pathophysiologic causes ... staining): β€’ Low ... Glomerulonephritis β€’ With associated ... #differential #diagnosis ... #algorithm #rheumatology
Blood Transfusion Reactions

Immune Mediated:
 β€’ Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Causes purpura & ... β€’ Transfusion Associated ... Hypothermia: Due to low ... include: Malaria, Borrellia ... #Transfusion #diagnosis
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Causes purpura & ... - Transfusion Associated ... Hypothermia: Due to low ... include: Malaria, Borrellia ... #Transfusions #diagnosis
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
presents to you after low ... is sent to CT abd ... in over 80% of cases ... and/or delayed diagnosis ... consultation, evaluation
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