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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Manifestations of IgG4-related disease by organ system.
 The most common primary disease features are indicated in
disease by organ system ... Disease #Organs #Systems ... #Diagnosis #Hematology ... #Signs #Symptoms
Hypereosinophilia (HE) Summary

 β€’ Definition
 β€’ When to Suspect?
 β€’ A Partial Classification of Hypereosinophilia
 β€’
β€’ A Partial Classification ... Hypereosinophilia β€’ Diagnostic ... Presentations β€’ Treatment ... Hypereosinophilia #HE #hematology ... #diagnosis #management
Systemic Sclerosis (Scleroderma)
Limited - CREST:
 β€’ Calcinosis
 β€’ Raynaud phenomenon
 β€’ Esophageal dysmotility
 β€’ Sclerodactyly
 β€’
Systemic Sclerosis ... @AnnKumfer #Systemic ... #Scleroderma #diagnosis ... #signs #symptoms ... #rheumatology
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
Cutaneous and Systemic ... Systemic Findings ... #Cutaneous #Systemic ... Dermatomyositis #Diagnosis ... #Rheumatology
Initial triage of the neutropenic adult - Algorithm for the evaluation and treatment of adult patients
evaluation and treatment ... Algorithm #workup #diagnosis ... #hematology #biopsy ... #indications #differential
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
weakness, less systemic ... heliotrope rash, Shaw sign ... , holster sign, ... after 2 years of treatment ... #rheumatology
Connective tissue disease-associated interstitial lung diseases

LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.
SSc: systemic sclerosis ... arthritis SLE : systemic ... LungDisease #CTILD #Diagnosis ... Differential #Comparison #Table ... #Pulmonary #Rheumatology
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 β€’ Constitutional domain: Fever
 β€’ Cutaneous domain: Non-scarring
EULAR/ACR Classification ... Criteria for Systemic ... pericarditis β€’ Hematologic ... Erythematosus #diagnosis ... #rheumatology
Thrombotic Microangiopathy - TTP VS HUS

Big picture points : Often hard to differentiate the two entities,
distinction has HUGE treatment ... and first-line treatment ... thrombocytopenia #Comparison #Diagnosis ... #Table #Hematology
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 β€’ Weight loss, diet, d/c culprit
Approach to Gout Diagnosis ... diet, d/c culprit medications ... Acute and chronic treatment ... NUIM_Chiefs #gout #diagnosis ... #ULT #rheumatology