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 cancer colon colorectal differential gastroenterology rheumatology screening tests aion anteriorischemicopticneuropathy cardiac cardiology compared dermatology druginduced emergencies endo erythemas
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... SPECT ($$$), PET CT ... Cardiac #Stress #Testing
Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based tests: • FIT: 79% sensitivity, 94% specificity for CRC
specificity for CRC ... mortality 26% • CT ... Screening #Tests #comparison ... #table #management ... #Testing
ACA Colorectal Cancer Screening Guidelines When to Screen? When to Stop? Family History Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based
specificity for CRC ... mortality 26% • CT ... Indications #Tests #comparison ... #table #management ... #Testing #Indications
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA) 1) Is visual loss caused
Is visual loss caused ... the optic nerve caused ... Increased ESR and/or CRP ... halo sign PET/CT ... Ophthalmology #Diagnosis #Algorithm
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
Manifestations: - CRP ... Discontinuation of causal ... Manifestations: - CRP ... druginduced #lupus #sle #comparison ... #table #rheumatology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... It can be easier ... normal volume-based algorithm ... Cerebral Salt Wasting ... differential #diagnosis #table
Erythemas Summarized Erythema ab igne • A dermatosis that results from repeated exposure to heat (fires, heating
to heat (fires, heating ... pads, heating blankets ... • Can be induced ... PrathitKulkarni #Erythemas #comparison ... #table #differential
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... Treat underlying cause ... radiology for possible stenting ... 2–4 days after CRS
Fever of Unknown Origin (FUO) Diagnostic Algorithm STEP 1 Perform a comprehensive history and complete physical examination. STEP
FUO) Diagnostic Algorithm ... , CMP, ESR, CRP, ... lower extremities, CT ... positive first-tier testing ... Order 18FDG-PET/CT
A blood test and/or 24 hour urine collection for the breakdown product of adrenaline & noradrenaline
blood or urine testing ... usually MRI or CT ... In certain cases ... diagnosis, this can ... Pheo #Diagnosis #Algorithm
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