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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The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
The 6 C’s of Primary ... ducts, commonly leading ... patients with PSC are asymptomatic ... clinical trial evaluation ... #summary #Hepatology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... Diagnosis and Management ... Summary PRE-ENDOSCOPY ... unclear source (in case ... TIPS β€’ Pre-TIPS evaluation
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)β†’Activation of CD8 T cells (IFN-y) β†’ Excessive activation of macrophages
assessment+++ Primary ... allogeneic HSCT β€’ Symptomatic ... inhibitors under evaluation ... Lymphohistiocytosis #diagnosis #management ... #treatment #summary
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Summary 10 percent ... malignant, pediatric cases ... paroxysmal HTN, most primary ... adrenoceptors, potentially leading ... pheochromocytoma: primary
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
- Scoping Summary ... Infusion = 40mg IV BID ... communication with ICU/primary ... #diagnosis #management ... #algorithm
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
Summary of Oncologic ... allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... Treat underlying cause ... shortness of breath - Asymptomatic
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
ICU One Pager Summary ... β€’ U: Symptomatic ... pericarditis, bleeding ... in the ICU: β€’ IHD ... #Therapy #RRT #managment