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 ... Treatment: β€’ Consider ... (transfusions, antibiotics ... diagnosis #management #treatment ... #hematology
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 β€’ Mechanical Trauma (Microangiopathic hemolytic anemia):
Microangiopathic hemolytic anemia ... Drugs (Beta lactam antibiotics ... spherocytosis) β€’ Infections ... differential #diagnosis #hematology ... #anemia
Autoimmune Hemolytic Anemia (AIHA) Treatment
Warm AIHA:
1) Steroids - 1-2 mg/kg prednisone daily
   β€’ Until
Autoimmune Hemolytic Anemia ... (AIHA) Treatment ... esp if severe disease ... Polyclonal: - Infection ... #management #hematology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
chronic liver disease ... hemochromatosis, hemolytic anemia ... Diseases Fellowship ... rash #cellulitis #dermatology ... legs #clinical #photo
Chronic Lymphocytic Leukemia (CLL) - Summary
Overview: 
 β€’ Most common leukemia in adults
 β€’ Disorder of
5) Symptoms of anemia ... Complications: 1) Infection ... chemotherapy for low-risk disease ... marrow failure with anemia ... Leukemia #oncology #hematology
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
age, however the disease ... can mimic common infections ... : β€’ Infection ... rapidly, and empiric antibiotic ... #hematology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Bandemia, AKI. ... or clindamycin Antibiotic ... Diseases Fellowship ... Canimorsus #Skin #Rash #dermatology ... #clinical #photo
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
Oroya Fever Hematologic ... disease caused ... severe hemolytic anemia ... TREATMENT: ​‒ Acute ... Supportive and antibiotics
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
with or without treatment ... , but without treatment ... , the infection ... Diagnosis #Clinical #Photo ... #Dermatology
Cutaneous larva migrans skin Rash
25 F recent Caribbean vacation, walked barefoot on sand and now with
No treatment is ... rates of recurrent disease ... Indiana University Infectious ... Diseases Fellowship ... #clinical #photo