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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diagnosis management lupus rheumatology differential druginduced erythematosus systemic treatment workup anesthesia anesthesiology cardiacarrest comparison criteria dil disorders ent epistaxis eularacr
Epistaxis Management Algorithm / Checklist 1. blow out clots 2. vasoconstrictor spray 3. nose clip or direct
Epistaxis Management Algorithm ... / Checklist ... 1. blow out clots ... coagulopathy, surgical evaluation ... #Checklist #ENT
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus Clinical Domains: • Constitutional domain: Fever • Cutaneous domain: Non-scarring
EULAR/ACR Classification ... pericarditis • Hematologic ... > 0.5 g/24 hr, Class ... lupus nephritis, Class ... #Criteria #SLE
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... in >90% - Low ... 60-80% - Low ... #comparison #table ... #rheumatology #
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE ... Positive in 60-80% of cases ... 60-80% - Low ... • Evolution: ... Management #Summary #rheumatology
Management of Lupus Nephritis Lupus nephritis (LN) in 10 to 40% of SLE Hallmark = proteinuria 20.5 g/g
in 10 to 40% of SLE ... renal histological evaluation ... severity (ISN/RPS classification ... by 12 months Classification ... treatment #management #rheumatology
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Differential Diagnosis Algorithm ... are present • Classic ... B-Cell ~90% • Low ... Lymphoproliferative #Disorders #Classification ... pathophysiology #Hematology
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... Better call hematology ... some time, let’s see ... levels: realllly low ... #workup #hematology
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
delegate task of evaluating ... Increase fresh gas flow ... • See Boxes B ... CardiacArrest #Checklist ... Intraoperative #Checklist
Drug Induced Lupus (DIL) • Epidemiology: -10% of all lupus cases, drug-dependent, 4:1 to 1:1 F:M
10% of all lupus cases ... is rare in DIL, SCLE-DIL ... in >90% - Low ... cutaneous-DIL • Evolution ... DrugInduced #Lupus #DIL #rheumatology
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