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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Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
and Management ... are caused by members ... immunosuppression (eg ... presentations: β€’ Pulmonary ... #fungal #infectiousdiseases
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
- Differential Diagnosis ... - Cirrhosis Syndrome ... hemorrhage) - Pulmonary ... #Differential #Diagnosis ... #Table #Causes
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
IV Mg infusion (e.g ... - Tumor lysis syndrome ... #Differential #Diagnosis ... High #Magnesium #Table ... #Causes #Management
Differential Diagnosis of Wheezing
 β€’ Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
Differential Diagnosis ... aspiration, Parasitic infection ... (e.g. ... Churg-Strauss syndrome ... #Causes #pulmonary
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... Resistance, Main Uses ... #Pharmacology # ... Effect #Management
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 β€’ Shed in the urine, feces, saliva of
common route of infection ... Cardiopulmonary Syndrome ... +/- diarrhea Diagnosis ... #management #treatment ... #microbiology #infectiousdiseases
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... there is no clear cause ... Summary #CheatSheet #Diagnosis
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... confirm DAH, r/o infection ... recent DAN) β€’ EMG ... Goodpasture's cause ... #management #treatment
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Streptococcal Toxic Shock Syndrome ... GAS in 30% of cases ... day 2 + 3 BIDMC Infectious ... STSS #treatment #management ... #diagnosis
Fusarium Infections
Acquired through:
1. Inhalation of airborne conidia > germinates > blood > disseminated
2. Trauma (implantation with
BCx+ in -40% of cases ... Refractory FUO, Sino-pulmonary ... ; triazole (e.g. ... #infectiousdiseases ... #diagnosis #management