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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Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... reservoir bag moving ... ventilator bellows moving ... potential surgical causes ... team. ❼ Consider causes
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 β€’ Na+ channels open leading to a
Transient K+ efflux moving ... open leading to slow ... Vaughan Williams Classification ... #Pharmacology #Classification ... #Classes #pathophysiology
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
the body louse, causes ... Northeast Africa with cases ... Several cases have ... The table below ... microscopy #pathology #clinical
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... to 1:1 F:M β€’ Clinical ... Discontinuation of causal ... Positive in 60-80% of cases ... sle #comparison #table
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
exacerbations Drug Class ... Eosinophils < 100 Dosing ... : 250 mcg tablet ... eosinophils are low ... won’t have any clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Clinical β€’ Under-recognized ... Delivery β€’ Stable ... support for patients clinically ... investigative therapy in PPCM
Dense Spontaneous Echo Contrast (SEC) on POCUS
Rouleaux flow on POCUS.  RBCs stick together to form
POCUS Rouleaux flow ... flow or increased ... Seems to be moving ... some COVID-19 cases ... #POCUS #clinical
β–Ί
IDSA - Clinical Strategy to Build an Individualized Treatment Regimen for Multi-Drug Resistant Tuberculosis (MDR-TB)
 β€’
IDSA - Clinical ... Build a regimen using ... susceptible (or has low ... MDR-TB source cases ... #pharmacology #dosing
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... Diagnosis = clinical ... : On one hand, classic ... identifies 85 to 95% of cases ... followed by long slow
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
few months ago during ... cutaneous mucor cases ... failure, infant low ... therapy), some cases ... dermatology #skin #clinical