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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rheumatology anesthesia anesthesiology checklist differential druginduced intraoperative sle treatment antiphospholipid apls ascites cardiac cardiology chestpain comparison dil erythematosus exudative heart
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
(SLE) - Diagnosis ... • Immunologic Workup ... Positive in 60-80% of cases ... 60-80% - Low ... Erythematosus #Diagnosis
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
• Immunologic Workup ... in >90% - Low ... Discontinuation of causal ... #rheumatology #diagnosis ... #management
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
Low ascitic fluid ... out nephrotic syndrome ... as a cause for ... Although nonhepatic causes ... #workup #algorithm
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
• Diagnostic ... • Low tidal ... volume, low/no PEEP ... Plan definitive management ... #Management #Workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... non-specific, ESR usually low ... Goodpasture's cause ... , low grade proteinuria ... #management #treatment
HEART Score – A Tool For the ED The HEART score is an excellent tool that
Acute Coronary Syndrome ... admission for further workup ... on identifying low ... heart-score-major-cardiac-events #Diagnosis ... #Management #Cardiology
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Check fresh gas flow ... hypercarbia as causes ... alfentanil can be diagnostic ... overload / TURP syndrome ... #Management #Workup
Drug Induced Lupus (DIL) • Epidemiology: -10% of all lupus cases, drug-dependent, 4:1 to 1:1 F:M
• Immunologic Workup ... in >90% - Low ... Discontinuation of causal ... #rheumatology #diagnosis ... #treatment #management
Antiphospholipid Syndrome (APLS) Testing - Hypercoagulable Workup Algorithm INDICATIONS FOR TESTING: • Vascular thrombosis
Antiphospholipid Syndrome ... Hypercoagulable Workup ... maternal chromosomal causes ... excluded Testing: • Lupus ... #Algorithm #diagnosis
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