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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Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Sx change Migraine ... Phonophobia +/- aura ... Thrombosis, Giant Cell Arteritis ... primary #secondary #management ... #neurology
Migraine without Aura
Diagnostic Criteria (ICHD-3):
A) At least 5 attacks fulfilling criteria B-D:
B) Headache attacks lasting 4-72
Migraine without ... Aura Diagnostic ... Moderate or severe pain ... #Aura #diagnosis ... #criteria #neurology
Stages of Migraine
 โ€ข Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Blurred Vision โ†’ โ€ข Aura ... 60 minutes each aura ... Phase (4h-72h): Pain ... #Stages #diagnosis ... #neurology #headache
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
of Migraine Mild ... Gepants, Ergots Non-pharmacologic ... , Rest, Hydration ... neudrawlogy #Migraine ... #management #neurology
Migraine Treatment Overview

 โ€ข What is a Migraine?
 โ€ข Pathophysiology
 โ€ข Common Migraine Triggers
 โ€ข Diagnosis
Migraine Treatment ... Triggers โ€ข Diagnosis ... #Treatment #management ... #pharmacology # ... prophylaxis #neurology
Dengue Fever - Diagnosis and Management Summary 
Dengue Fever โ†’ Dengue Hemorrhagic Fever โ†’Dengue Hemorrhagic Shock
Presentation: Fever, Headache ... , Retroocular pain ... Positive Tourniquet test ... , Abdominal pain ... 7 days (Ig)M Treatment
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 โ€ข Rest angina attributed to coronary artery vasospasm.
 โ€ข Patients often
disorders (Raynaud, migraine ... hyper-reactivity of coronary arteries ... perform provocative tests ... in cath lab Treatment ... #management
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 โ€ข Birds are the primary reservoir
 โ€ข
Symptoms: Malaise, headache ... non-productive cough, chest pain ... Microimmunofluorescent antibody test ... #microbiology #diagnosis ... #management #treatment
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... claudication, headaches ... the โ€œChewing gum test ... Treatment of GCA ... #Management
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... have positive serology ... a syndrome of pain ... aneurysm and coronary arteritis ... Latent #Tertiary #Diagnosis