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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Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
and Acute Fatty ... Elevated Liver tests, Low ... child * Severe cases ... hematology #diagnosis #table ... #comparison
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal/low ... Red blood cell casts ... Serum albumin - Low ... #Nephritic #Comparison ... #Table #Nephrology
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
Pregnancy Three syndromes ... Elevated Liver tests, Low ... TTPHUS #HELLP #AFLP ... Hematology #Diagnosis #Comparison ... #Table
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
Liver Disease in ... necrosis HELLP Syndrome ... Liver enzymes, and Low ... and hemorrhage Acute ... obstetrics #hepatitis #comparison
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Common causes of ... Impaired forward flow ... inhibitors, hepatorenal syndrome ... β€’ Primary GNs: Disease ... Due to systemic disease
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Lowers level of low-density ... increased risk of low ... Phosphate #Binders #Table ... #Comparison #Pharmacology ... #Nephrology
Phosphate Binders - Pros and Cons

Calcium carbonate (TumsTM) 
 - Most inexpensive, antacid properties useful for
and peptic ulcer disease ... Low pill burden. ... Low pill burden ... Phosphate #Binders #Table ... #Comparison #Pharmacology
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
β€’ Immunologic Workup ... in >90% - Low ... Evolution: Chronic disease ... druginduced #lupus #sle #comparison ... #table #rheumatology
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Syndrome: 3d of ... The table below ... Given low sensitivity ... of blood smear, acute ... Infectious Diseases