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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Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... flare, Pleural effusion ... Tumor, Pleural effusion ... poisoning, DKA, Fever ... #Differential #Diagnosis
Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Cough - Diagnostic ... Autoimmune Vasculitis, ILD ... Dz, Malignant effusion ... #Schema #Acute ... #Differential #Algorithm
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
ID Approach to Fever ... and Rash - Diagnostic ... Algorithm Central ... Parvovirus 819 / EBV, Acute ... #Algorithm #Schema
Ruptured Ectopic Pregnancy on Pelvic Ultrasound
25 y/o f w acute abd pain and vaginal bleeding. Upreg
Ultrasound 25 y/o f w acute ... abd pain and vaginal ... bleeding. ... rapid, life-saving diagnosis ... Ultrasound #clinical #POCUS
β–Ί
Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
on Lung POCUS ... Diagnosis? ... No empyema.Had acute ... subacute(on/off) bleeding ... #Lung #POCUS #Pulmonary
β–Ί
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
days and presents fever ... transmission, with acute ... and no apparent focus ... Severe bleeding: ... classification #diagnosis
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... 50mcg bolus -> infusion ... not initiate in acute ... Summary #Endoscopy #diagnosis ... #management #algorithm
Symptoms and signs of Leptospirosis
Acute phase:
 - Fever and headache
 - Conjunctival suffusion, jaundice, and photophobia
Leptospirosis Acute ... phase: - Fever ... - Conjunctival suffusion ... Symptoms #signs #diagnosis ... phases #immune #acute
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
: - Fever + ANC ... allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... and endotherapy; Infusion ... = 40mg IV BID ... Summary #Endoscopy #diagnosis ... #management #algorithm