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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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
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
β€’ Immunologic Workup ... in >90% - Low ... β€’ Immunologic Workup ... 60-80% - Low ... #comparison #table
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 β€’ Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE ... β€’ Immunologic Workup ... Positive in 60-80% of cases ... 60-80% - Low ... β€’ Evolution:
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
How do you work ... A) Initial Evaluation ... Ruled out other causes ... #CVA #stroke #workup ... #diagnosis #checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
delegate task of evaluating ... Increase fresh gas flow ... β€’ See Boxes B ... CardiacArrest #Checklist ... Diagnosis #Management #Workup
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... some time, let’s see ... levels: realllly low ... you’ll do a good workup ... #workup #hematology
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
Check fresh gas flow ... hypercarbia as causes ... be diagnostic – see ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... possible fresh gas flow ... complications (see ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Drug Induced Lupus (DIL)
 β€’ 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 ... β€’ Immunologic Workup ... in >90% - Low ... cutaneous-DIL β€’ Evolution