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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Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
updated systematic review ... summarised in Tables ... EBM #Management ... #Pharmacology #BPD ... Effectiveness #Table
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 β€’ RHABDOMYOLYSIS
CK Elevation (Pain ... Illness: viral (COVID19 ... SLE β€’ PROXIMAL AND ... #Elevated #CK #differential ... #diagnosis #rhabdomyolysis
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Features That Differentiate ... rheumatologic disorders ... it difficult to differentiate ... Presentation #comparison #Table ... #Diagnosis
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Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
/back pain that ... Connective tissue disorder ... Pulse deficit/differential ... Aortic #Dissection #diagnosis ... #management #vascular
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
test panel - Review ... Pain control - ... pain-dose ketamine ... limit them as able ... Pancreatitis #Checklist #Diagnosis
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
β€’ Uncommon but life-threatening
β€’ Most common site of bowel connection
and Management ... Bleeding, abdominal pain ... β€’ Should be on differential ... Management: SURGERY ... #Management #Summary
Ventilator Alarms
Increased Rate - Patient is tiring on a weaning mode or experiencing pain/anxiety
 - Reassess
or experiencing pain ... pilot balloon, & add ... thenursealyx - http://covid19 ... MechanicalVentilation #Nursing #Differential ... #Diagnosis #Management
Diagnoses to Consider in Patients with Flank Pain and Costovertebral Angle Tenderness
Physicians should consider other disorders
Diagnoses to Consider ... Patients with Flank Pain ... consider other disorders ... pyelonephritis (Table ... #Differential #
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Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Delivery β€’ Stable ... relief of IVC compression ... should be done on diagnosis ... Cardiomyopathy #diagnosis
Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
is not seen on plain ... appear to be a stable ... way to differentiate ... are via stress view ... #Diagnosis #Orthopedics