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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How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
How do you work ... β€’ Non-contrast CT ... β€’ +/- bubble study ... Defined if 1) CT ... #stroke #workup
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... enzymes, Head CT ... Syncope #diagnosis #workup ... Effectiveness #table ... #comparison
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... mimics, repeat testing ... β†’ CT urography and ... #Workup #urology
Hypereosinophilia Different Diagnosis and Workup
Secondary causes are broad so start with a med review, the most
Diagnosis and Workup ... Secondary causes ... the US inpatient setting ... - VA Joint Chiefs ... #algorithm
Radiation Dose to Adults from Common Imaging Examinations
ABDOMINAL REGION
 - Computed Tomography (CT) β€” Abdomen and
years - Upper GI Study ... Tomography Angiography (CTA ... #Nuclear #Comparison ... #Table #Risks # ... Testing #Study
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
50 CXRs Head CT ... CXRs Abdomen CT ... #Nuclear #Comparison ... #Table #Risks # ... Testing #Study #
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
and Screening Testing ... MRA; abdominal CT ... infusion Adrenal CT ... #Screening #Workup ... #table
How much radiation is used in paediatric radiology examinations compared to other exposures?

Estimated dose - Days
mSv 1 day Head CT ... months Chest CT ... #Nuclear #Comparison ... #Table #Risks # ... Testing #Study #
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... the diagnostic algorithm ... In one study, adding ... disposition, even if the cause ... AVS #Posterior #CVA
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
suspected) - CT ... chest; CT abdomen ... full infectious work-up ... high LDH, low Ca ... Treat underlying cause