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: 
   -
Scl70 (in some cases ... Scl-70 (in some cases ... SLE, SjS, CTD-ILD ... ribaviron combination therapy ... #differential #
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Hepatocellular Pattern ... NAFLD, Others β€’ Mild ... Ducts - CBD
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... β€’ COLITIS - PSC-IBD ... distinct from IBD ... Therapy with UDCA ... of UDCA for all patietns
Antinuclear Antibody Testing Cytoplasmic Patterns
Reticular/AMA: 
 β€’ PBC, SSc, PBC/SSc OS, PBC/SjS OS
 β€’ AMA
Speckled:
 β€’
Testing Cytoplasmic Patterns ... SLE, SjS, CTD-ILD ... ribaviron combination therapy ... #Cytoplasmic #Patterns ... #differential #
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Lung Disease - Differential ... Diagnosis Algorithm ... Lung #Diseases #ILD ... #Causes #Differential
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Empiric therapy ... Transplant #diagnosis #differential
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... Cardiac: multiple case ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... Antiretroviral therapy ... Washington University ID ... #causes #diarrhea ... #HIVAIDS #Differential
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Avoid ARBs β€’ ICD ... deteriorating on medical therapy ... investigative therapy