Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... infection Native Valve ... amzn.to/2LmUODZ #Endocarditis ... #Algorithm #Infective ... Noninfective #Causes #Differential
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Thrombocytopenia - Differential ... - Mechanical: valve ... replacement, endocarditis ... Thrombocytopenia #Differential ... Diagnosis #Framework #hematology
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
Cryoglobulinemia, Endocarditis ... Glomerulonephritis #Vasculitis #differential ... #diagnosis #algorithm ... #rheumatology
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... mechanical cardiac valve ... #Diagnosis #Algorithm ... #workup #hematology
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
Purpuric Rashes- THE ALGORITHMIC ... with devastating differential ... ; however, an algorithmic ... gonococcal disease, endocarditis ... #Diagnosis #Dermatology
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
POCUS shows aortic valve ... Clinical #POCUS #Echocardiogram ... Aorta #Vegetation #Endocarditis ... #AorticRegurgitation
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Aortic Valve Chordae Tendinae causing Aortic Regurgitation
In cases of significant aortic regurgitation without endocarditis or significant
Aortic Valve Chordae ... regurgitation without endocarditis ... about... aortic valve ... ChordaeTendinae #echocardiogram ... clinical #pocus #tee #AorticRegurgitation
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Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
Calculate R-Value ... Idiosyncratic #differential ... gastroenterology #algorithm ... gastroenterology #hepatology
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal
echocardiography; and
prosthetic heart valves ... diseases, previous endocarditis ... other stigmata of endocarditis ... Transesophageal #Echocardiogram ... #TTE #TEE #Algorithm
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Polycythemia - Differential ... Diagnosis Algorithm ... that a one-off value ... Better call hematology ... #workup #hematology