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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“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and ... treatments in this ... #Diagnosis #Management ... #Pediatrics #Peds ... #Febrile #Infant
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm
Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
Treatment Algorithm ... iron #deficiency #CHF ... heartfailure #diagnosis #management ... #algorithm #cardiology ... #treatment #guidelines
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
The Febrile Infant ... empiric antibiotic treatment ... Diagnosis #EBM #Management ... #Pediatrics #Peds ... Stratification #Fever
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
) Treatment - IV ... showed reduced risk ... iron #deficiency #CHF ... heartfailure #diagnosis #management ... #cardiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
onto outstretched hand ... ), compartment syndrome ... • ED Management ... recommendations MH/CCF ... Elbow #Humerus #Radiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
: - Fever + ANC ... work-up - If febrile ... allopurinol 300 mg BID ... mg/dL or > 25 % rise ... interventional radiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Risk Factors and ... May have typical HF ... Avoid ARBs • ICD ... teratogenic GDMT meds ... #cardiology #treatment
Strongyloidiasis Treatment
Asymptomatic ± eosinophilia (Very low risk):
 • Diagnostic: Serology, Stool Ova and parasites (O&P) examination
Strongyloidiasis Treatment ... hyperinfection syndrome ... PLUS 400 mg po BID ... cerebrospinal fluid (CSF ... Strongyloidiasis #Treatment