Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 โ€ข Avoid inadvertent Rx of serotoninergic meds
Syndrome Identify ... normalize vital signs ... then 2 mg q2h if symptoms ... #Management #treatment ... #toxicology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 โ€ข Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... and Management ... Recurrent abdominal pain ... Treatment: โ€ข Global ... #Diagnosis #Management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 โ€ข Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration โ€ข Symptoms ... changes, stroke symptoms ... WBC >100k, + lab signs ... #TLS #diagnosis ... #management #hematology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or โ‰ฅ 39 C this is a
Treatment depends ... hyperthermia crisis (late sign ... Differential #Causes #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
Overwhelming clinical syndrome ... : HLH signs and ... symptoms can mimic ... agent are the main ... #management #treatment
Optic Neuritis - Diagnosis and Management
 โ€ข Epidemiology: Female (75%), 18-50 years,
caucasian
 โ€ข Symptoms: Moderate visual
and Management ... caucasian โ€ข Symptoms ... Moderate orbital pain ... Unilateral โ€ข Signs ... #Management #treatment
Propofol-Related Infusion Syndrome (PRIS)

Diagnosis is based on a constellation of clinical suspicion and biochemical signs including:
(PRIS) Diagnosis ... and biochemical signs ... #PRIS #Diagnosis ... #Management #Pharmacology ... #Toxicity #Toxicology
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
(PICS) Symptoms ... guide targeted treatments ... CAM-ICU) - Pain ... #PICS #diagnosis ... #management #criticalcare
What is a Boxerโ€™s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
onto the hand Symptoms ... - Pain along ulnar ... โ€“ compartment syndrome ... Overlying wounds or signs ... Hand #Metacarpal #Diagnosis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... claudication: pain ... Treatment of GCA ... #Symptoms #Diagnosis ... #Management