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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signs management radiology adultonset aids anterior arteritis arthritis bursa checkpointinhibitors chest cmv comparison ct cxr cytomegalovirus dermatology disease gca giantcell
Rheumatoid Arthritis Summary MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Involvement, Spares ... Rheumatoid Nodules, Pulmonary ... Arthritis #RA #diagnosis ... #rheumatology # ... signs #symptoms
Greater Trochanteric Bursa Injection Usually roll patient on side, find the most tender spot, approximately an
the most tender spot ... leg well below hip ... #clinical #video ... #procedure #rheumatology ... #hip
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 Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
CMV infection: virus ... regardless of symptoms ... Pancreatitis • Pulmonary ... #differential # ... signs #symptoms
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination This 57 yo WM reported to clinic complaining of
WM reported to clinic ... and had no other symptoms ... showed temporal injection ... using a cotton tip ... #video #ophthalmology
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 Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... fraction < 20% Differential ... Diaqnoses: • ... hepatitis • Pulmonary ... management #treatment #rheumatology
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Diagnosis of Miliary ... Nocardia, zoonotic infections ... , Sarcoidosis, HSP ... #diagnosis #pulmonary ... #CXR #clinical
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
(IRIS): • In HIV ... lymphadenopathy, pulmonary ... Children with pulmonary ... #Tuberculosis #diagnosis ... #differential #
Pulmonary complications of targeted therapy -Immune checkpoint inhibitors (e.g. pembrolizumab) -Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... exclusion: rule out infection ... common presenting symptom ... There are case reports ... #Clinical #Diagnosis
TRALI vs TACO - Transfusion Reactions TRALI: • Epidemiology: 0.1% of transfused patientsl • Risk factors: Critical
Risk factors: Critical ... Pathophysiology: 2 hit ... ARDS to explain symptoms ... , and CXR with pulmonary ... #diagnosis #comparison
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... very remarkable w/differential ... vs infection vs ... them, but urgent rheumatology ... Temporal #Signs #Symptoms
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