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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11 results
Stress Dose Steroids - Indications and Dosing

SUPPRESSED HPA AXIS:
 prednisone >20mg/day x 3 weeks or more
Stress Dose Steroids ... - Indications and ... #Dosing #Endocrinology ... #Diagnosis #Management ... #Pharmacology
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
different than other medications ... very tolerable medication ... Renal #Dosing #Pharmacology ... #Management #Diabetes ... #DM2 #Endocrinology
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Here is a review ... nonpharmacologic management ... before increasing medication ... Stepwise #Therapy #Management ... #Pharmacology #
Hypocalcemia - Diagnosis and Management
PTH Independent (โ†‘ PTH)
 โ€ข LOW VIT D
    -
Hypocalcemia - Diagnosis ... and Management ... Transfusions - Medications ... #Management #endocrinology ... #differential #
Postpartum Hemorrhage - Differential Diagnosis, Examination and Management

Uterotonic Medications (after delivery of the placenta):
 โ€ข Oxytocin
Diagnosis, Examination ... and Management ... Uterotonic Medications ... up to 2 mg (8 doses ... #Management #Medications
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... test panel - Review ... of medication list ... Q6hr) and pain-dose ... Pancreatitis #Checklist #Diagnosis
Diabetes Morning Hyperglycemia - Dawn Phenomenon vs Somogyi Effect 

When patients FBG's are elevated each morning
attempts at adjusting medication ... or decrease the medication ... evening insulin dose ... Hyperglycemia #Diagnosis ... #Management #Endocrinology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Adjust IS medications ... *Reduce dose of ... Algorithm #Transplant #diagnosis ... #differential
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 โ€ข Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... : cell count + differential ... diuresis at max doses ... diuretic-resistant โ€ข Medications
IDSA Recommendations for Preventing and Treating Varicella Zoster Virus (VZV) Infections in HIV-AIDS
Pre-Exposure Prevention of VZV
Primary Infection Indications ... health-care provider diagnosis ... (Varivaxโ„ข), 2 doses ... Prevention #Treatment #management ... infections #HIVAIDS #pharmacology