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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Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... Gepants, Ergots Non-pharmacologic ... Treatment: Neuromodulation ... , Rest, Hydration ... #management #neurology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 โ€ข Rest angina attributed to coronary artery vasospasm.
 โ€ข Patients often
Epidemiology: โ€ข Rest ... anginal chest pain ... tolerance โ€ข Pain ... perform provocative tests ... in cath lab Treatment
Migraine - Preventative Treatments

 โ€ข Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 โ€ข Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
- Preventative Treatments ... Beta-blockers, ACE ... #Preventative #Treatment ... prophylaxis #prevention #pharmacology ... #neurology
Algorithm for the Treatment of Uremic Pruritus
Nonpharmacologic Treatments:
 โ€ข Daily topical emollient
 โ€ข Avoidance of extremes
Algorithm for the Treatment ... Evidence-Based Off-Label Pharmacologic ... Treatments of Uremic ... nalfurafine 2.5 mcg ... #management #nephrology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... claudication: pain ... chews, not just pain ... the โ€œChewing gum test ... Treatment of GCA
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 โ€ข Patients presenting with progressive dysphagia
of Achalasia - ACG ... heart burn, chest pain ... What test to order ... Botulinum toxin โ€ข Pharmacologic ... Diagnosis #Management #ACG
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... have positive serology ... a syndrome of pain ... GrepMed Recommended Text