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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Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
old, ~10,000 new cases ... cytopenias (usually anemia ... transformation to acute ... #Management #treatment ... #hematology #oncology
Causes of Thrombocytosis - Differential Diagnosis
Secondary Thrombocytosis (a.k.a Reactive Thrombocytosis):
 β€’ Acute infection
 β€’ Solid organ
Thrombocytosis): β€’ Acute ... malignancies β€’ Anemia ... Myelodysplastic syndrome ... #Diagnosis #Causes ... #hematology #secondary
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 β€’ Anemia: macrocytic > normocytic, ↑ reticulocytes
 β€’
1) DIAGNOSE AIHA ... β€’ Blood smear: Differential ... 2) LOOK FOR a cause ... #diagnosis #management ... #treatment #rheumatology
Diagnostic Framework for Anemia (Morphological Approach - MCV)
Low MCV - <80fL - "Microcytic"
 β€’ Iron deficiency
kidney disease, Acute ... Myelodysplastic syndrome ... morphologic #mcv #differential ... #diagnosis #causes ... #hematology
Aplastic Anemia - Illness Script
Signs and symptoms:
 β€’ Recurrent infections from neutropenia
 β€’ Mucosal bleeding from
Diagnosis: β€’ Pancytopenia ... Treatment: β€’ Consider ... progress to MDS or acute ... #diagnosis #management ... #treatment #hematology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites ... Diagnosis Algorithm ... Infiltrative disease β€’ Acute ... #Diagnosis #Algorithm ... #Hepatology #causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... #Algorithm #Hepatology ... #causes
Red Blood Cell (RBC) Morphology Atlas
 β€’ Microcytic - Iron-deficiency anemia, Thalassemia, Sideroblastic anemia, Lead poisoning
Myelodysplastic syndrome ... Malignant tumors, Acute ... Morphology #Atlas #key #diagnosis ... #differential # ... hematology
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 β€’ Fever, acute onset RUQ pain,
Supportive with treatment ... hepatomegaly and anemia ... Hepatobiliary #hepatology ... #hepatitis #differential ... #diagnosis
Hypophosphatemia - Differential Diagnosis Algorithm
 β€’ Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 β€’ Redistribution/
Hypophosphatemia - Differential ... Diagnosis Algorithm ... ), Hungry bone syndrome ... #Diagnosis #Algorithm ... #causes #nephrology