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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Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... Treatment: β€’ Global ... Limited trial low ... #gastroenterology ... #treatment
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
Algorithm for the ... to be caused by ... - Clinical findings ... initiation of treatment ... #Syndrome #Algorithm
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... or induced by treatment ... how the right pupil ... #clinical #video
β–Ί
Chronic Pancreatitis

Definition: A pathologic fibroinflammatory syndrome of the pancreas in individuals with genetic, environmental, and/or other
fibroinflammatory syndrome ... EUS-guided FNA (low ... sensitivity) Clinical ... #management #gastroenterology ... #treatment
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M β€’ Clinical ... in >90% - Low ... 60-80% - Low ... druginduced #lupus #sle #comparison ... #rheumatology #diagnosis
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... initial event (low ... restored to esophagus Clinical ... : - Treatment of ... #management #gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Consider refeeding syndrome ... nutrients β€’ TPN for treatment ... Tx: Small and low ... Gastric bypass causes ... #diagnosis #differential
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Syndrome: 3d of ... LBRF can be diagnosed ... Given low sensitivity ... initiation of treatment ... microscopy #pathology #clinical
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
he coughed and now ... drain - What’s the diagnosis ... Fusobacterium Treatment ... #PhysicalExam #clinical ... #video #pulmonary
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Protein Losing Enteropathy
Clinical Presentation:
 β€’ Volume overload: Peripheral edema, pleural effusion or ascites.
 β€’ Gl symptoms
Losing Enteropathy Clinical ... soluble vitamins) Diagnosis ... without apparent cause ... Dietary therapy: Low-fat ... #management #gastroenterology