Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Hypereosinophilia Different Diagnosis and Workup
Secondary causes are broad so start with a med review, the most
and Workup Secondary ... causes are broad ... start with a med review ... the most common cause ... the US, helminth infections
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis ... of primary OR secondary ... unclear (often the case ... intravenous (IV) injection ... Stimulation #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
ACTH-Dependent (Secondary ... Polyglandular Autoimmune Syndrome ... • Infectious: ... Insufficiency #AI ... #endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... : TB, fungal infection ... Causes of Secondary ... hypophysitis, Sheehan's syndrome ... #Endocrinology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Infectious Causes ... Waterhouse-Friderichsen syndrome ... Insufficiency #AI ... #differential #diagnosis ... #endocrinology
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Chemotherapy • Infectious ... • Inflammatory/AI ... , myeloma, secondary ... #differential #diagnosis ... #causes #neurology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... - Differential Diagnosis ... • Cushing’s syndrome ... Acromegaly #Secondary ... #Workup #table
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
soles in 50% of cases ... and nephrotic syndrome ... to asymptomatic infection ... Latent #Tertiary #Diagnosis ... Comprehensive Review