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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11 results
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... TBRF is caused by ... the body louse, causes ... The table below ... hypotension following initiation
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Start - Inpatient Initiation ... for Opioid Use Disorder ... Withdrawal Initial Dosing ... Hospital #Inpatient #Initiation ... opiate #opioid #algorithm
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Eosinophil Disorders ... Testing Algorithm ... uncovered incidentally during ... for secondary causes ... eosinophilia (common causes
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... treating opioid use disorder ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
of Opioid Use Disorder ... Buprenorphine - Comparison Table ... In these cases, ... Dosing usually begins ... side effects are nausea
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 β€’ Na+ channels open leading to a
rapid Na+ influx initiating ... Transient K+ efflux moving ... depolarization occurs initiating ... Vaughan Williams Classification ... #Pharmacology #Classification
Post-Transplantation Lymphoproliferative Disorders (PTLD)
Definition: Lymphoid and/or plasmacytic proliferations that occur as a result of immunosuppression in
Lymphoproliferative Disorders ... abnormalities (↑ LDH), rising ... Diagnosis and classification ... to 50% of PTLD cases ... Lymphoproliferative #Disorders
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... identifies 85 to 95% of cases ... (Cornelia NEJM ... a month after initiating ... ’t worry about initiating
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 β€’ first seizure occurred
seizure occurred during ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... Seizure #FirstTime #Initiation ... #start #Algorithm
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... leukocytosis, psychiatric disorders ... deteriorate w/ initiation ... or arrhythmia) during