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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18 results
 Acute Iron Poisoning

There are five classically described phases of toxicity:
Gastrointestinal phase (~6 hours post-ingestion)
 -
mucosal injury - Abdominal ... pain, nausea, vomiting ... necrosis Bowel Obstruction ... #Toxicology #Diagnosis ... #Management #Ferrous
Histamine Fish Toxicity - Inadequate refrigeration increases enzyme from bacteria on fish 
Clinical 
β€’ Skin flushing,
bacteria on fish Clinical ... throbbing headache, abdominal ... Oral burning, nausea ... eating fish Management ... #Toxicology #Diagnosis
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
of MALA - Abdominal ... presentation - Clinical ... LacticAcidosis #Toxicity ... #Toxicology #Diagnosis ... #Management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
- Differential Diagnosis ... disease - Renal ultrasound ... ; MRA; abdominal ... β€’ Obstructive ... #Workup #table
Small Bowel Obstruction (SBO) on POCUS

A patient came into our ED with abdominal pain... within 5
(SBO) on POCUS ... into our ED with abdominal ... hitting the door a diagnosis ... #SBO #Abdominal ... #Ultrasound #clinical
β–Ί
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
help and inform clinical ... drainage are vital, so ... β€’ Diagnostic ... Plan definitive management ... #Management #Workup
Sodium Nitrite and Nitrate - Toxicology

Clinical features of nitrate/nitrite toxicity
 β€’ MetHb
 β€’ Hypotension
 β€’ Headache,
and Nitrate - Toxicology ... Clinical features ... nitrate/nitrite toxicity ... blurred vision, nausea ... #diagnosis #management
Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
urinary tract outlet obstruction ... immune compromise Clinical ... Abdominal or flank ... ultrasound as initial ... #management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
= nonspecific (nausea ... , vomiting, abdominal ... Antithrombin Ill β€’ Ultrasound ... ) Differential Diagnosis ... Maternal Support - Critical
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
β€’ Uncommon but life-threatening
β€’ Most common site of bowel connection
and Management ... the duodenum Clinical ... triad: Bleeding, abdominal ... , and palpable abdominal ... Not reliable, so