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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IDSA Summary of recommendations on drugs for use in a treatment regimen for patients with
multidrug-resistant tuberculosis,
IDSA Summary of ... recommendations on drugs ... certainty in the evidence ... #MDRTB #management ... #pharmacology #ebm
IDSA - Clinical Strategy to Build an Individualized Treatment Regimen for Multi-Drug Resistant Tuberculosis (MDR-TB)
 β€’
IDSA - Clinical ... Individualized Treatment ... Resistant Tuberculosis ... are contacts of infectious ... #MDRTB #management
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
Acute-on-Chronic ... months without treatment ... Coagulation Failure Infections ... Hepatitis (AAH) Drug-Induced ... Cirrhosis #Hepatology #gastroenterology
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)β†’Activation of CD8 T cells (IFN-y) β†’ Excessive activation of macrophages
and biological evidences ... immune deficiency, Drugs ... Unknown cause Treatment ... Lymphohistiocytosis #diagnosis #management ... #treatment #summary
IDSA Recommendations for Treating Isospora belli Infection in HIV-AIDS
Treating Isospora belli Infection
General Management Considerations:
 β€’ Fluid
IDSA Recommendations ... General Management ... ART and without evidence ... IsosporaBelli #IDSA ... #Prevention #Treatment
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
IDSA Recommendations ... Mycobacterium Tuberculosis ... test for LTBI, no evidence ... #TB #IDSA #Prevention ... #Treatment #management
Probiotics Guidelines
Adults with C difficile infection
 β€’ Recommendation: Only in the context of a clinical trial
on antibiotic treatment ... Children with acute ... Probiotics #Guidelines #gastroenterology ... recommendations #management ... #evidence #ebm
IDSA Recommendations for Treating Cytomegalovirus Infections in HIV-AIDS
Preventing CMV Disease:
 β€’ CMV end-organ disease is best
IDSA Recommendations ... β€’ Given the evident ... intraocular levels of drug ... Cytomegalovirus #CMV #IDSA ... #management #opportunistic
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 β€’ Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... RR of bacterial infection ... Bleeding #varices #management ... #ebm #evidence ... #gastroenterology