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 Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... Non-pharmacologic Treatment ... Neuromodulation, Rest ... Migraine #acute #treatment ... #management #neurology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal Syndrome ... β€’ Labs: CBC, cr ... , anti-CCP β€’ CXR ... , biopsy By Tess ... differential #diagnosis #nephrology
Tetralogy of Fallot Summary
 β€’ Anatomy
 β€’ Incidence
 β€’ Pathophysiology
 β€’ Presentation
 β€’ Common Variants
 β€’
Associated Genetic Syndromes ... β€’ β€œPink” Tet ... palliation β€’ Post-Op Management ... Fallot #diagnosis #management ... peds #pediatrics #treatment
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... #HepatoRenal #Syndrome ... #Nephrology #Management ... #Medications #Treatment
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 β€’ Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... Encephalopathy #Syndrome ... #Treatment #Management ... #Neurology
Korsakoff Syndrome
Clinical Findings:
 β€’ Confabulation: Usually initial phase of the disease
 β€’ Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... Clinical Findings ... Therefore, Korsakoff Syndrome ... Encephalopathy Treatment ... #neurology #diagnosis
Hepatorenal Syndrome Treatment
Volume expansion: 
 β€’ Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... Treatment Volume ... #Hepatorenal #Syndrome ... #Treatment #management ... #HRS #nephrology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... organ damage β€’ Treatment ... acid, Elevated Cr ... Low calcium β€’ Treatment ... TLS #diagnosis #management
Urethral Injury in the Emergency Department

Clinical Features, Diagnostics and Treatment

#Urology #Diagnosis #Management #Urethral #Injury #Urethrogram
Emergency Department Clinical ... Diagnostics and Treatment ... #Urology #Diagnosis ... #Management #Urethral
Staphylococcus-associated GlomeruloNephritis - Diagnosis and Management Summary
CLINICAL
 β€’ Nephritic syndrome (Casts)
 β€’ Marked proteinuria (may be
Summary CLINICAL ... β€’ Nephritic syndrome ... β€’ No serologic tests ... deposits common TREATMENT ... GlomeruloNephritis #nephrology