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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11 results
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Syphilis - Clinical ... weight loss • Skin ... Albuminuria, nephrotic syndrome ... Syphilis: • Patient ... infected without symptoms
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... soles in 50% of cases ... and nephrotic syndrome ... exposure to or symptoms ... granuIomas on skin
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... The signs and symptoms ... , the infection ... resembling rashes caused ... #Photo #Dermatology
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
treated, in most cases ... will heal and the patient ... Without treatment ... are no signs or symptoms ... #clinical #photo
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
Algorithm for the ... thought to be caused ... - Clinical findings ... initiation of treatment ... #Algorithm #Symptoms
Penicillin Allergy Pathway for Antibiotic Prescription in Patients With Penicillin Allergy
Mild Reaction - Itching, Minor rash
mucosal involvement, skin ... eosinophilia systemic symptoms ... syndrome, Hemolytic ... there is a strong clinical ... #Prescription #algorithm
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Similar symptoms ... Syndrome: 3d of ... The table below ... Infectious Diseases ... 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 ... than one after symptom ... and cauda equina TREATMENT
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... accounted for by cold symptoms ... last ½ hour • 2 - nausea ... stool • 0 - no GI symptoms ... Hospital Opioid Use Treatment
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... vasculitis vs infection ... required due to skip ... of the steroid treatment ... Treatment of GCA