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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12 results
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
Management Algorithm ... PTLD, GVHD or IBD ... Empiric therapy ... #Algorithm #Transplant ... #diagnosis #differential
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... IDA and active IBD ... Receptor (sTfR) to differentiate ... /other causes β€’ ... #management
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes ... to a superior therapy ... #Management #Alcohol ... #Protocol #PulmCrit
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Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
Bronchiectasis: diagnosis and ... Causes of localized ... fibrosis, Radiation therapy ... #Differential # ... workup #algorithm
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Non-Benzos): β€’ Propofol ... Propofol infusion ... it should not cause ... pharmacologic therapy ... CriticalCare #diagnosis #management
Antinuclear Antibody Testing Cytoplasmic Patterns
Reticular/AMA: 
 β€’ PBC, SSc, PBC/SSc OS, PBC/SjS OS
 β€’ AMA
Speckled:
 β€’
Cytoplasmic Patterns ... SLE, SjS, CTD-ILD ... ribaviron combination therapy ... ARUPConsult @ARUPLabs #ANA ... #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
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 ... therapy in PPCM
Management of Anaphylaxis in the Outpatient Setting

In the management of anaphylaxis, administering intramuscular epinephrine and ensuring
the Outpatient Setting ... In the management ... suggested office-based protocol ... delivering this therapy ... Anaphylaxis #Outpatient #Algorithm
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