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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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 ... anti-motility agents ... #diagnosis #differential
Antenatal Visits - Testing and Schedule
At Every Visit:	
 β€’ Gestational Age	
 β€’ BP
 β€’ Maternal Weight
Stillbirth GDM Management ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc ... #Schedule #Screening
What is Fecal Occult Blood Testing (FOBT)
 β€’ Screening for colorectal cancer in average risk population
(FOBT) β€’ Screening ... immunochemical test ... as first line screening ... β€’ Recommended screening ... Does not change management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Hypertension - Differential ... Diagnosis and Screening ... Testing Common ... withdrawal of suspected agent ... #Hypertension #Differential
IDSA Recommendations for Preventing Human Papillomavirus Infections and Cervical Cancer Screening for Women with in HIV-AIDS
Recommendations
Cervical Cancer Screening ... Cervical Cancer Screening ... 3 years β€’ Co-testing ... (Pap test and HPV ... Prevention #Treatment #management
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome Testing ... Algorithm INDICATIONS ... FOR TESTING: β€’ ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening ... require Cosyntropin testing ... Step 3) Differentiate ... Insufficiency #Algorithm
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 β€’ Anemia: macrocytic > normocytic, ↑ reticulocytes
 β€’
β€’ Blood smear: Differential ... β†’ Systematic screening ... Immunosuppressive agents ... Anemia #diagnosis #management
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
bronchodilator test ... and sensitivity tests ... summary of the differential ... #Diagnosis #Management ... #Differences #Algorithm
HIV Pre-Exposure Prophylaxis (PrEP)
1) Available Agents (one pill daily): TDF-FTC, TAF-FTC
2) Who? Adolescents and adults >
1) Available Agents ... 3) Efficacy: MSM ... only after HIV testing ... #Prophylaxis #management