Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
Cystic fibrosis, primary ... ciliary, dyskinesia ... #Differential #workup ... #algorithm #pulmonary
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 ... to multi-focal biliary ... colorectal and hepato-biliary ... clinical trial evaluation ... AutoImmuneLiver #PSC #Primary
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... #Diarrhea #Workup
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Function Tests in the Evaluation ... Hyperthyroidism: Work-up ... high T4 +/- T3 → Primary ... Hyperthyroidism #algorithm
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Twinkle Artifact of CBD ... isn't exclusive to urinary ... #POCUS Can also ... #stone #biliary ... clinical #ultrasound #pocus
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Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
of Pruritus in Primary ... Biliary Cholangitis ... Recirculating System; CBD ... #Pruritus #Primary ... Management #Hepatology #Algorithm
Approach to a young patient with hypertension
General Evaluation - History and Examination, Basic chemistries (K, eGFR),
hypertension General Evaluation ... ↑AIdo/↓PRA: Primary ... essential HTN If work-up ... early #secondary #workup ... #algorithm