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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Summary of Infections in which Steroids play a role in treatment
 β€’ TB meningitis
 β€’ TB
play a role in treatment ... reconstitution inflammatory syndrome ... β€’ Ramsay Hunt syndrome ... #Steroids #Indications ... #treatment
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... (HRS) Midodrine ... #Pharmacology #Medications ... #Treatment
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... vasculitis - TTP/HUS ... disease - Post-infectious ... β€’ Medications
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
steroids to treat infectious ... respiratory distress syndrome ... InfectiousDiseases #Infections ... Pharmacology #Management #Treatment ... #Indications
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 β€’ Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
NMS, serotonin syndrome ... Soon: Can take 48 hrs ... for infections ... Immunocompromise Treatment ... β€’ Secondary to Treatment
IDSA Recommendations for Preventing and Treating Penicillium marneffei Infections in HIV-AIDS
Preventing 1st Episode of Penicilliosis (Primary
Penicillium marneffei Infections ... Prophylaxis) Indication ... PO once daily Indication ... IDSA #Prevention #Treatment ... #HIVAIDS #pharmacology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Distributive Shock, HRS ... Abdominal Compartment Syndrome ... , Medications Intra-Renal ... AIN: Medication, Infection ... Differential #Diagnosis #nephrology
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Hepatorenal Syndrome ... a precipitant: Medications ... abuse, Bacterial infection ... Mainstay of treatment ... #Management #treatment
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 β€’ Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... within first 2-6 hrs ... #Treatment #Management ... #Neurology
Possible Causes of Altered Urine Color 

Red 
    Foods: beets, blackberries, rhubarb
urinary tract infections ... urinary tract infection ... tyrosinemia, Gilbert syndrome ... (Purple Urine Syndrome ... Differential #Diagnosis #Nephrology