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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Suspected catheter-related bloodstream infection - Management Algorithm
 β€’ Temperature 37.8 C   β€’ Rigors
catheter-related bloodstream infection ... of metastatic infection ... of metastatic infection ... of metastatic infection ... after treatment
Non-HCV infectious mixed cryoglobulinemia vasculitis - Diagnosis, causes and management - French Vasculitis Study Group

< 5%
Non-HCV infectious ... neuropathy Treatment ... Specific anti-infectious ... related to HBV infection ... absence of anti-infectious
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 β€’ Mechanical Trauma (Microangiopathic hemolytic anemia):
cold agglutin disease ... Mycoplasma pneumoniae infection ... Drugs (Beta lactam antibiotics ... spherocytosis) β€’ Infections ... differential #diagnosis #hematology
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)β†’Activation of CD8 T cells (IFN-y) β†’ Excessive activation of macrophages
Triggering factor (infection ... Acquired HLH: β€’ Infections ... β€’ Autoimmune diseases ... , Infection under ... Etiological+++: Anti-infectious
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
dysentery, severe disease ... recommended Infectious ... belli, Cyclospora Infectious ... Cytomegalovirus Non-Infectious ... Differential #Diagnosis #Infectious
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
months without treatment ... underlying liver disease ... Coagulation Failure Infections ... Failure #Cirrhosis #Hepatology ... #gastroenterology
IDSA Recommendations for Treating Cytomegalovirus Infections in HIV-AIDS
Preventing CMV Disease:
 β€’ CMV end-organ disease is best
Cytomegalovirus Infections ... β€’ Intravitreal injections ... control of the infection ... opportunistic #infections ... #HIVAIDS #pharmacology
Aplastic Anemia - Illness Script
Signs and symptoms:
 β€’ Recurrent infections from neutropenia
 β€’ Mucosal bleeding from
: β€’ Recurrent infections ... megaloblastic anemia Treatment ... (transfusions, antibiotics ... diagnosis #management #treatment ... #hematology
Hordeolum vs Chalazion

Hordeolum (Stye):
 β€’ Location: Most commonly found at or near an eyelash follicle
 β€’
Cause: Bacterial infection ... , swelling β€’ Treatment ... painless lump β€’ Treatment ... Warm compresses, antibiotic ... Chalazion #Comparison #Table
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