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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Suspected catheter-related bloodstream infection - Management Algorithm
 β€’ Temperature 37.8 C   β€’ Rigors
Antibiotic Management ... Hemodynamically stable ... Antibiotic Management ... Hernodynamically stable ... #CRBSI #diagnosis
Campylobacter
Clinical 
 β€’ Fever 
 β€’ Abdominal pain 
 β€’ Diarrhea (bloody stools) 
 β€’ Vomiting
β€’ Abdominal pain ... β€’ Supportive (infection ... self-limited) β€’ Antibiotics ... Campylobacter #Diagnosis ... #Management #Overview
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
disease - Post-infectious ... causes: sepsis, meds ... interstitial nephritis (AIN ... β€’ Medications ... Classification #diagnosis
Orthopedic Dressing Materials
1. Opsite - semi-permeable-thin, adhesive transparent polyurethrane film 
 β€’ Indications: Superficial wounds as
antiseptics or antibiotics ... recommended in anearobic infections ... with, topical medication ... Dressings #Materials #management ... wound #comparison #table
Hordeolum vs Chalazion

Hordeolum (Stye):
 β€’ Location: Most commonly found at or near an eyelash follicle
 β€’
Cause: Bacterial infection ... Warm compresses, antibiotic ... #Clinical #Diagnosis ... #Management #Ophthalmology ... Chalazion #Comparison #Table
β€œStep by Step” – the new kid on the block – aims to risk stratify this
serious bacterial infections ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile ... Algorithm #LP #Antibiotics
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
from CHF, Chest Pain ... Administer sedative & pain ... medication. 3) ... #bradycardia #diagnosis ... #differential #management
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Injury (AKI) - Management ... specific treatment β€’ AIN ... Foley β€’ UTI β†’ Antibiotics ... Foley catheter β€’ Medications ... β†’ Stop meds β€’
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
for metastatic infection ... spleen, brain) Indications ... course β€’ Adjust antibiotics ... #criticalcare #diagnosis ... #management
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
can mimic common infections ... Treatment: β€’ Infection ... rapidly, and empiric antibiotic ... agent are the main ... #management #treatment