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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NINDS Diagnostic Criteria for Guillain Barre Syndrome 
Features Required for Guillain-BarrΓ© Syndrome:
 β€’ Progressive muscle weakness
Criteria for Guillain Barre ... Required for Guillain-BarrΓ© ... Recent diphtheritic infection ... BrighamMedRes #Guillain #Barre ... #criteria #neurology
Algorithm showing a stepwise approach to the assessment and investigation of a possible neuropathy. CIDP, chronic
Algorithm showing ... GBS, Guillain-BarrΓ© ... syndrome; HNPP, ... #Diagnosis #Neurology ... Neuropathy #Peripheral #Algorithm
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
steroids to treat infectious ... respiratory distress syndrome ... Corticosteroids #Adjuvant #InfectiousDiseases ... #Infections #Pharmacology ... #Management #Treatment
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Chemotherapy β€’ Infectious ... CIDP, Guillain-Barre ... Paraprotein-associated (POEMS syndrome ... diagnosis #causes #neurology
Guillain-BarrΓ© Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 β€’ Incidence: 1
Guillain-BarrΓ© Syndrome ... to a preceding infection ... and cauda equina TREATMENT ... #Syndrome #diagnosis ... #management #neurology
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Infectious Causes ... primary adrenal infection ... Waterhouse-Friderichsen syndrome ... Cytomegalovirus, Epstein-Barr ... endocrinology #infectiousdiseases
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal Syndrome ... polyangiitis, Microscopic ... allopurinol), Infection ... DAH, rule out infection ... differential #diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... dipstick, urine microscopy ... Abdominal compartment syndrome ... β€’ Cardio-renal syndrome ... #AKI #Workup #Algorithm
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 β€’ Shed in the urine, feces, saliva of
common route of infection ... Cardiopulmonary Syndrome ... β€’ Autopsy PCR Treatment ... diagnosis #management #treatment ... #microbiology #infectiousdiseases
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... can be either infectious ... or non-infectious ... #Casts #Urine #Microscopy ... #nephrology #interpretation