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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Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M β€’ Clinical ... in >90% - Low ... 40, F:M 9:1 β€’ Clinical ... 60-80% - Low ... #comparison #table
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 β€’ Constitutional domain: Fever
 β€’ Cutaneous domain: Non-scarring
EULAR/ACR Classification ... Erythematosus Clinical ... > 0.5 g/24 hr, Class ... lupus nephritis, Class ... #Criteria #SLE
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 β€’ Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE ... 40, F:M 9:1 β€’ Clinical ... Positive in 60-80% of cases ... 60-80% - Low ... β€’ Evolution:
Allergic Bronchopulmonary Aspergillosis (ABPA)
WHAT IS IT?
Hypersensitivity response to Aspergillus fumigatus in the airways
 β€’ Primarily affects
WHAT ARE THE CLINICAL ... mucus plugs β€’ Low ... WHAT CAN YOU SEE ... ON LABORATORY EVALUATION ... Aspergillus β€’ Peripheral
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... intrinsic factor, IF) Clinical ... total body stores Evaluation ... findings, HSM, LN, peripheral ... pit, low retic
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
Algorithm for the ... - Clinical findings ... spontaneous clonus, peripheral ... hyperthermia - Most cases ... of treatment (see
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
recurrentis on Peripheral ... BP stable, HR 115 ... The table below ... Given low sensitivity ... microscopy #pathology #clinical
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... possible fresh gas flow ... monitoring of: core and peripheral ... complications (see ... Plan admission to critical
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
presents to you after low ... BAR INJURIES: classic ... falling from a low ... consultation, evaluation ... Trauma #Injury #clinical
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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 ... to 1:1 F:M β€’ Clinical ... is rare in DIL, SCLE-DIL ... in >90% - Low ... cutaneous-DIL β€’ Evolution