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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Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
Antimalarial drugs ... QRS #widening #ECG ... #EKG #Pharmacology ... #Medications #Toxicology ... #Diagnosis #Differential
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
pharmacology ... #pharmacology # ... inopressors #diagnosis ... #management #comparison ... #table
A toxidrome is a syndrome (set of symptoms) caused by specific medications or toxins.

There are 5
barbituates, β€œZ-drugs ... antihistamines #Diagnosis ... #Toxicology #Toxidromes ... #Comparison #Table
Vancomycin Associated Acute Kidney Injury

 β€’ Drug induced acute kidney injury is generally defined as a
Kidney Injury β€’ Drug ... 24-72 hours of drug ... β€’ Treatment includes ... Vancomycin #AKI #pharmacology ... #toxicology #diagnosis
Clozapine Toxicology
Clozapine is an atypical antipsychotic most often reserved for use in patients who have treatment-resistant
Clozapine Toxicology ... patients who have treatment-resistant ... antipsychotic drugs ... #Toxicity #Diagnosis ... #Pharmacology
Therapeutic Drug Level Monitoring 
Carbamazepine - Sample immediately before next dose (trough) 
Clozapine - Sample immediately
Therapeutic Drug ... Therapeutic #Ranges #Toxicology ... #Pharmacology # ... Diagnosis #Table
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
constitutional symptoms β€’ Treatment ... life-threatening β€’ Treatment ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #management
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
exacerbations Drug ... tablet once daily ... increase to 500 mcg ... recommendations for the treatment ... #Indications #Pharmacology
Histiocytosis - Langerhans cell histiocytosis (LCH), Erdheim-Chester disease (ECD), Rosai-Dorfman disease (RDD)
Comparison of Features by Age,
disease (RDD) Comparison ... Histology and Treatment ... Histiocytosis #diagnosis ... #comparison #table ... management #LCH #ECD
Scleroderma Like Conditions - Differential Diagnosis
Eosinophilic Fasciitis:
 - Orange peel induration (peau d'orange) of proximal extremities
- Differential Diagnosis ... the mainstay of treatment ... immunocompromised host Drug ... #Differential #Diagnosis ... #comparison #table