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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Aplastic Anemia - Illness Script
Signs and symptoms:
 β€’ Recurrent infections from neutropenia
 β€’ Mucosal bleeding from
: β€’ Recurrent infections ... Symptomatic anemia Diagnosis ... (transfusions, antibiotics ... progress to MDS or acute ... #hematology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
Acute-on-Chronic ... months without treatment ... Coagulation Failure Infections ... #gastroenterology ... #management #diagnosis
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
can mimic common infections ... presents as an acute ... : β€’ Infection ... rapidly, and empiric antibiotic ... #hematology
CAPD-associated peritonitis (Continuous Ambulatory Peritoneal Dialysis) - 5 Things To Know
Diagnosis (Two of the following):
(1) Clinical
Things To Know Diagnosis ... Microbiology: β€’ ... diverticulitis) Treatment ... Conncomitant catheter infection ... β€’ Prophylactic antibiotics
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
nutrients β€’ TPN for treatment ... complication rate (i.e. infections ... (N/V bloating, abd ... and Hepatology ... #diagnosis #differential
Probiotics Guidelines
Adults with C difficile infection
 β€’ Recommendation: Only in the context of a clinical trial
and children on antibiotic ... treatment β€’ Recommendation ... Children with acute ... Probiotics #Guidelines #gastroenterology ... management #evidence #ebm
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 β€’ Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... endoscopic banding β€’ Antibiotics ... RR of bacterial infection ... varices #management #ebm ... #evidence #gastroenterology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
if SSTI or port infection ... abdominal pain; full infectious ... 500 β†’ may stop antibiotics ... syndrome): - Hematologic ... Oncology #HemeOnc #Diagnosis