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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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Tests - Differential ... Diagnosis Algorithm ... Hepatocellular Pattern ... , PSC, Alcoholic ... Ducts - CBD
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 β€’ Homogeneous pattern: 
   -
Nuclear Patterns ... SLE, SjS, CTD-ILD ... ribaviron combination therapy ... #differential # ... diagnosis #rheumatology
Evaluation abnormal liver tests in pregnancy
- Cholestatic Pattern
- Hepatocellular Pattern

#LFTs #transaminits #pregnancy #obgyn #obstetrics #hepatology #diagnosis
Evaluation abnormal ... - Cholestatic Pattern ... obstetrics #hepatology #diagnosis ... #differential # ... algorithm
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
asymptomatic at diagnosis ... β€’ COLITIS - PSC-IBD ... Therapy with UDCA ... of UDCA for all patietns ... clinical trial evaluation
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 ... #differential # ... diagnosis #rheumatology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
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 ... UCSF COVID-19 ID ... UCSF #COVID19 #Evaluation ... #Guide #Diagnosis ... #Algorithm #Protocol
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... sx overlap with normal ... Avoid ARBs β€’ ICD ... deteriorating on medical therapy ... investigative therapy
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... smooth cysts with normal ... LCDD, SS Cyst pattern ... presentations - ILD ... #Diagnosis #differential
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... and/or delayed diagnosis ... Keep this injury pattern ... on your differential ... consultation, evaluation
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