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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10 results
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 β€’ Homogeneous pattern: 
   -
Antinuclear Antibody Testing ... SLE, SjS, CTD-ILD ... ribaviron combination therapy ... #differential # ... diagnosis #rheumatology
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Diagnosis Algorithm ... NAFLD, Others β€’ Mild ... Ducts - CBD
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... PTLD, GVHD or IBD ... Empiric therapy ... #Transplant #diagnosis ... #differential
Platelet disorders and Aggregometry
Glanzmann Thrombasthenia
 β€’ Defective aggregation to all agonists except ristocetin
 β€’ Normal platelet,
similar aggregation pattern ... cytometry β€” GP Ilb ... agonists β€’ This pattern ... considered first-line testing ... #diagnosis #Aggregometry
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 ... #differential # ... diagnosis #rheumatology
Osteomalacia & Osteoporosis in People with HIV
Osteomalacia:
 - Decreased bone matrix mineralization. In people with HIV
TDF renal PO4 wasting ... antiretroviral therapy ... Osteopenia - Lab: Normal ... Washington University ID ... HIVAIDS #Comparison #Diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
β€’ WBC usually normal ... (CRP, D-dimer, IL ... UCSF COVID-19 ID ... Evaluation #Guide #Diagnosis ... #Algorithm #Protocol
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
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
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... Antiretroviral therapy ... Washington University ID ... diarrhea #HIVAIDS #Differential ... #Diagnosis