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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15 results
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 β€’ Isolated
 β€’ Polyglandular autoimmune syndrome 1
 β€’
Causes of Adrenal ... Differential Diagnosis Algorithm ... Thrombophilia β€’ Critical ... ACTH Dependent - Central ... #Causes
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD Algorithm ... fatigue despite clinical ... /other causes β€’ ... modifications Algorithm ... #Fatigue #IBD #Algorithm
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... documented to be a complete ... joints (arthritis), central ... Nephrocalcinosis causes ... #Algorithm #differential
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... Leukopenia β€’ Cases ... and no apparent focus ... metrorrhagia, central ... fever #severity #classification
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
- SEE UPDATED ALGORITHM ... into meaningful clinical ... fails to achieve clinical ... Alternative causes ... gain behavioral control
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Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Neuro: altered mental ... EmmGeezee #Shock #Classification ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Neuro: altered mental ... EmmGeezee #Shock #Classification ... #differential #causes ... #classification
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Hypercoagulable states β€’ Clinical ... intravenous drug use, Central ... in up to 30% of cases ... Marantic #diagnosis #table
Multiple Myxomas on POCUS Echocardiogram

Apical 4-chamber view demonstrating multiple myxomas in a case of Carney complex
Multiple Myxomas on POCUS ... of Carney complex ... rare with masses ... #Myxomas #POCUS ... Echocardiogram #clinical
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Complex Aortic Atheroma on Suprasternal Notch View 
Never forget the suprasternal view during standard TTE examination.

Would
Complex Aortic Atheroma ... statin in all cases ... Ivan_Echocardio #Complex ... Echocardiogram #clinical ... #cardiology #pocus
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