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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14 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... polyangiitis, Microscopic ... allopurinol), Infection ... #differential # ... diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
dipstick, urine microscopy ... osmolarity If cause ... investigations depending on clinical ... • Cardio-renal syndrome ... #causes
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary tract infections ... Fatty - Nephrotic syndrome ... #Differential # ... Microscopy #Diagnosis ... #Nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... confirm DAH, r/o infection ... Goodpasture's cause ... #differential # ... diagnosis #management #treatment
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Treatment depends ... Phaeochromocytoma Neurologic ... #Hyperthermia #Differential ... #Causes #Anesthesiology
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Reconstitution Inflammatory Syndrome ... lymphadenopathy, pulmonary ... neurological symptoms • Caused ... Tuberculosis #diagnosis #differential ... #TB #neurology
Strongyloides Stercoralis on sputum microscopy
As many suggested this was strongyloides stercoralis hyperinfection syndrome.
Infection is initiated by
Infection is initiated ... by infectious larvae ... bloodstream to the pulmonary ... is caused by accelerated ... #clinical #strongyloidiasis
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Syndrome: 3d of ... The table below ... Infectious Diseases ... recurrentis #BloodSmear #microscopy ... #pathology #clinical
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... transplantation CLINICAL ... and cauda equina TREATMENT ... diagnosis #management #neurology
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
Capillary leak syndrome ... 150 published cases ... Relapsing-remitting course +++ Clinical ... filling +++ (risk of pulmonary ... of infections)