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 sle aafp anemia anesthesia anesthesiology b12 bloodsmear borrelia causes checklist cobalamin comparison crisis deficiency
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... FOR TESTING: • Peripheral ... during medical evaluation ... or workup for specific ... 1,500 cells/µL Workup
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
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
Algorithm for the ... evaluation of macrocytic ... by ordering a peripheral ... recovery also causes ... #Workup #AAFP
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Function Tests in the Evaluation ... TSH, Low normal ... Hyperthyroidism: Work-up ... of pregnancy, critical ... Hyperthyroidism #algorithm
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M • Clinical ... • Immunologic Workup ... in >90% - Low ... 60-80% - Low ... sle #comparison #table
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
40, F:M 9:1 • Clinical ... • Immunologic Workup ... Positive in 60-80% of cases ... 60-80% - Low ... management of SLE • Evolution
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... total body stores Evaluation ... findings, HSM, LN, peripheral ... pit, low retic
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 ... Plan admission to critical ... Diagnosis #Management #Workup
Drug Induced Lupus (DIL) • 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 • Clinical ... • Immunologic Workup ... in >90% - Low ... cutaneous-DIL • Evolution
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