Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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Failure to Thrive - Evaluation Checklist
 β€’ History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Failure to Thrive ... ECG, CXR, ESR, CRP ... Syphilis β€’ Consults: SLP ... PT, OT, Social work ... #Checklist #diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
incr in 4-35% β€’ CRP ... inflammatory markers (CRP ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 β€’ Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
) - Diagnosis and ... Manifestations: - CRP ... β€’ Immunologic Workup ... β€’ Evolution: ... Erythematosus #Diagnosis
Algorithm for the Evaluation of CARP Pouchitis and Pouch Disorders - Recurrent Pouchitis on Pouchoscopy &
Evaluation of CARP ... Pouchoscopy & Histology CARP ... Pouch Complex Evacuation ... Waseem_AhmedMD #CARP ... #diagnosis #IBD
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
Manifestations: - CRP ... β€’ Immunologic Workup ... Manifestations: - CRP ... β€’ Immunologic Workup ... #rheumatology #diagnosis
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
withdrawal ** EDIT - SEE ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... dexmedetomidine can ... is suggested (figure ... -If you work at
β–Ί
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Base Disorders - Evaluation ... delta/delta) to see ... Ketoacidosis, Renal Failure ... Base #Disorders #Evaluation ... #workup #Differential
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
engagement Critical Care ... Non-Benzos): β€’ Propofol ... Propofol infusion ... bradycardia. renal/liver failure ... #CriticalCare #diagnosis
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
full infectious work-up ... - Occurs after CAR-T ... speech changes (CAR-T ... hypotension, renal failure ... Oncology #HemeOnc #Diagnosis
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
limiting self-care ... Evaluation: G2- ... , TSH, ESR, CRP ... #management #algorithm ... #IBD