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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Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Infectious Causes ... Waterhouse-Friderichsen syndrome ... Cytomegalovirus, Epstein-Barr ... #Causes #Adrenal ... endocrinology #infectiousdiseases
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 ... differential #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 ... Incidence: 1 to 2 cases ... and cauda equina TREATMENT ... #Syndrome #diagnosis ... #management #neurology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... dipstick, urine microscopy ... osmolarity If cause ... β€’ Cardio-renal syndrome ... #causes
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... vasoconstriction syndrome ... brain injury β€’ Infectious ... #Causes #neurology
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 ... #Urine #Microscopy ... #nephrology #interpretation
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary tract infections ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Abdominal Compartment Syndrome ... AIN: Medication, Infection ... Differential #Diagnosis #nephrology ... #causes #algorithm
Cyclosporiasis - Diagnosis and Management Summary
Pathogen: 
 β€’ Cyclospora cayetanensis
 β€’ Foodborne, waterbone, and soil-transmitted.
 β€’
transmission as zoonotic infection ... β€’ Anorexia, Nausea ... Established via stool microscopy ... Treatment: β€’ TMP-SMX-DS ... #microbiology #infectiousdiseases