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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Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 β€’ Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Framework Diagnosis ... NMS, serotonin syndrome ... Immunocompromise Treatment ... β€’ Secondary to Treatment
Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
Myelodysplastic Syndrome ... old, ~10,000 new cases ... risk-stratification β€’ Risks: infection ... only curative treatment ... #Management #treatment
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 β€’ Shed in the urine, feces, saliva of
common route of infection ... Cardiopulmonary Syndrome ... +/- diarrhea Diagnosis ... β€’ Autopsy PCR Treatment ... #management #treatment
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Pericarditis on POCUS ... Echocardiogram ... - Subcostal View ... could pinpoint the cause ... next day due to infectious
β–Ί
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... Echocardiogram ... Apical 3-Chamber View ... could pinpoint the cause ... Had diagnostic tap-fever
β–Ί
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Streptococcal Toxic Shock Syndrome ... GAS in 30% of cases ... 50% in nec fasc Diagnostic ... day 2 + 3 BIDMC Infectious ... #STSS #treatment
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... soles in 50% of cases ... and nephrotic syndrome ... Latent #Tertiary #Diagnosis ... Comprehensive Review
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal Syndromes ... confirm DAH, r/o infection ... β€’ Echocardiogram ... Goodpasture's cause ... #management #treatment
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 β€’ Direct lesion contact during sex is responsible
Manifestations and Treatment ... responsible for most cases ... Albuminuria, nephrotic syndrome ... Treatment: ... Syphilis #stages #diagnosis
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
β€’ Syndrome caused ... progressive inflammatory infection ... β€’ Diagnosis: ... #Emergencies #diagnosis ... #management #treatment