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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Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
ACLF) Clinical Guidelines ... months without treatment ... underlying liver disease ... Coagulation Failure Infections ... Cirrhosis #Hepatology #gastroenterology
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
of invasive GAS disease ... , erythematous macular ... day 2 + 3 BIDMC Infectious ... #STSS #treatment ... #management #diagnosis
Treatment Recommendations for Syphilis in Non-Pregnant Adults by Syphilis Stage

Incubating Infection, Primary, Secondary, Early Latent Syphilis:
Treatment Recommendations ... Neurosyphilis or Ocular ... disease specialist ... #Syphilis #Management ... #Guidelines #CDC2015
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
: Secondary to infections ... , Busulfan β€’ Disease ... (Goodpasture's syndrome ... #blood #urine #management ... #treatment #nephrology
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 β€’ Direct lesion contact during sex is responsible
Albuminuria, nephrotic syndrome ... Headache, meningitis, ocular ... meningovascular disease ... Coronary artery disease ... stages #diagnosis #management
IDSA Recommendations for Treating Cytomegalovirus Infections in HIV-AIDS
Preventing CMV Disease:
 β€’ CMV end-organ disease is best
IDSA Recommendations ... Preventing CMV Disease ... The ganciclovir ocular ... Cytomegalovirus #CMV #IDSA ... #management #opportunistic
IDSA Recommendations for Treating Coccidiodomycosis in HIV-AIDS
Treating Mild Infections (Such As Focal Pneumonia or asymptomatic patients
IDSA Recommendations ... with positive serology ... Extrathoracic Disseminated Disease ... #Prevention #Treatment ... #management #opportunistic
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... - Ocular syphilis ... and nephrotic syndrome ... to asymptomatic infection ... Diseases - https
Probiotics Guidelines
Adults with C difficile infection
 β€’ Recommendation: Only in the context of a clinical trial
on antibiotic treatment ... Children with Crohn's disease ... irritable bowel syndrome ... #gastroenterology ... recommendations #management
IDSA Recommendations for Treating Treponema pallidum Infections (Syphilis) to Prevent Disease in HIV-AIDS
Early Stage (Primary, Secondary,
IDSA Recommendations ... to guide management ... Neurosyphilis, Otic, or Ocular ... Treponema #pallidum #IDSA ... #Prevention #Treatment