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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27 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... non-productive cough, nausea ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... #treatment #management
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
eyelash follicle • Cause ... upper lid • Cause ... eyedrops, surgery #Clinical ... #Diagnosis #Management ... Chalazion #Comparison #Table
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
o infection • Echocardiogram ... LVEF, pericardial effusion ... Goodpasture's cause ... hematuria, RBC casts ... #management #treatment
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... class (30-day all cause ... Hemodynamics (Stable ... prognostication #diagnosis ... #management #stratification
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... • Diagnostic ... thoracotomy is a better treatment ... Plan definitive management ... #Management #Workup
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Differential Diaqnoses ... hepatitis • Pulmonary ... : pleural effusion ... #management #treatment
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... as patient is stable ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... drain - What’s the diagnosis ... Fusobacterium Treatment ... #PhysicalExam #clinical ... #video #pulmonary
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Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... regurgitation) Diagnosis ... • Ventilation-perfusion ... Bypass Other Treatment ... #management
Blastomycosis (Blastomyces): Gilchrist’s disease, Chicago disease - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode
- Sporadic cases ... inoculation • Clinical ... small pleural effusions ... • Management ... #management #summary