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 ... coagulopathy, surgical evaluation ... Nasal #NoseBleed #Algorithm ... #Checklist #ENT
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... cutaneous-DIL β€’ Evolution ... > - Anti-ENA ... β€’ Evolution: ... #comparison #table
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 β€’ Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE ... are evocative of SLE ... > - Anti-ENA ... Positive in 60-80% of cases ... β€’ Evolution:
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 ... : β€’ Class I -
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... syndrome (IBS) sub-classifications ... of incomplete evacuation ... Subclassifications #Classes
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
delegate task of evaluating ... potential causes ... β€’ See Boxes B ... CardiacArrest #Checklist ... Intraoperative #Checklist
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
β€’ Towards the end ... exclude other causes ... orthopnea, PND, LE ... during Delivery β€’ Stable
Emergency Evacuation  - Guidelines for Crises in Anaesthesia
Anaesthetised or sedated patient requires unplanned transfer because
Emergency Evacuation ... moved: if not see ... Transfer on operating table ... #Patient #Evacuation ... Intraoperative #Checklist
Submandibular Sialolithiasis on POCUS

Male with right submandibular pain/swelling.  Poor dentition. Sent to ED for suspected
Sent to ED for suspected ... See ultrasound. ... very helpful in evaluating ... other soft tissue masses
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Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
normal for age, but she ... She is sent to CT ... /contrast ---> sent ... BAR INJURIES: classic ... consultation, evaluation
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