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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11 results
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Receptor (sTfR) to differentiate ... Experience β€’ 2/3 ... disease control β€’ 1/3 ... #management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... Breath test for ... PTLD, GVHD or IBD ... #diagnosis #differential
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Uglucose Step #3 ... & desmopressin test ... Hypernatremia #Management
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Management of Convulsive ... renal function test ... : 8 mg) over 2-3 ... Epilepticus #seizure #Management ... pediatrics #peds #algorithm
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Red Flags and Differential ... Dark β€’ 4h – 3 ... β€’ 15 min – 3 ... Amy Chung, MD, MSc ... primary #secondary #management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... Then, ask 3 questions ... approach to the differential ... Assess volume status ... Diagnosis #Treatment #management
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
Tidal Volume 3) ... plateau pressure and static ... pressure is constant Best ... Confirm the height/ IBW ... #Ventilation #management
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Altered Mental Status ... Rapid Response Management ... 1) Ask while ... β€’ Hypoactive 3) ... encephalopathy #differential
Fever in the Returning International Traveler
Investigations after comprehensive physical examination including thorough skin examination: 
 β€’
supplementary tests ... smears; AND 3) ... other cultures and tests ... x 3-7 days Β± ... workup #diagnosis #differential
Uncertainty Communication Checklist for Patient Discharge

Introduction
1. Explain to the patient that they are being discharged
2. Ask
and/or by phone Test ... results/ED summary 3. ... Clearly state that ... Clearly state that ... Checklist #Discharge #Management