Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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management diagnosis differential dermatology rheumatology clinical comparison pharmacology algorithm hepatology idsa photo acute anemia causes hemophagocytic hivaids hlh lymphohistiocytosis oncology
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
catheter-related bloodstream infection ... of metastatic infection ... Hemodynamically stable ... Hernodynamically stable ... after treatment
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
months without treatment ... underlying liver disease ... Coagulation Failure Infections ... Failure #Cirrhosis #Hepatology ... #gastroenterology
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes Intravascular Hemolysis: • Mechanical Trauma (Microangiopathic hemolytic anemia):
cold agglutin disease ... Mycoplasma pneumoniae infection ... Drugs (Beta lactam antibiotics ... spherocytosis) • Infections ... differential #diagnosis #hematology
Acute Diarrhea - Differential Diagnosis Framework 1) Diagnostic studies only for dysentery, severe disease, >7 days 2)
dysentery, severe disease ... culture 3) Empiric antibiotics ... recommended Infectious ... belli, Cyclospora Infectious ... NonInfectious #Algorithm #gastroenterology
Aplastic Anemia - Illness Script Signs and symptoms: • Recurrent infections from neutropenia • Mucosal bleeding from
: • Recurrent infections ... megaloblastic anemia Treatment ... (transfusions, antibiotics ... diagnosis #management #treatment ... #hematology
Non-HCV infectious mixed cryoglobulinemia vasculitis - Diagnosis, causes and management - French Vasculitis Study Group < 5%
Non-HCV infectious ... neuropathy Treatment ... Specific anti-infectious ... with refractory disease ... Cryoglobulinemia #Vasculitis #Rheumatology
Summary of Coagulation Deficiencies Inherited: • Hemophilia A - Deficiency of Factor VIII • Hemophilia B -
malnutrition, Antibiotics ... Malabsorption (e.g. celiac disease ... Advanced Liver Disease ... Deficiencies #Summary #table ... comparison #diagnosis #hematology
Hordeolum vs Chalazion Hordeolum (Stye): • Location: Most commonly found at or near an eyelash follicle •
Cause: Bacterial infection ... , swelling • Treatment ... painless lump • Treatment ... Warm compresses, antibiotic ... Chalazion #Comparison #Table
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Diaqnoses: • Infectious ... autoinflammatory diseases ... diagnosis #management #treatment ... #rheumatology
Hemophagocytic Lymphohistiocytosis (HLH) Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
• Autoimmune diseases ... Adult-onset Still disease ... Unknown cause Treatment ... diagnosis #management #treatment ... #summary #rheumatology
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