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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Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
β€’ Screen for secondary ... causes of eosinophilia ... (common causes ... drug reaction, infection ... glucocorticoid treatment
Hypereosinophilia Syndrome (HES) - Diagnosis and Management
Definition: An absolute eosinophil count (AEC) greater than 1500 and
Hypereosinophilia Syndrome ... Secondary Causes ... hypersensitivity - Infection ... Hypereosinophilia #Syndrome ... #diagnosis #hematology
Summary of Infections in which Steroids play a role in treatment
 β€’ TB meningitis
 β€’ TB
play a role in treatment ... pericarditis (select cases ... hemodynamic reasons) β€’ Eosinophilic ... β€’ Ramsay Hunt syndrome ... #management #treatment
Approach to Eosinophilic Lung Diseases
 β€’ Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Approach to Eosinophilic ... Hypereosinophilic Syndrome ... , CNS, skin β€’ Infectious ... differential #diagnosis #comparison ... #table #eosinophilia
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 β€’ Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... NMS, serotonin syndrome ... Immunocompromise Treatment ... Process: β€’ Secondary ... to Treatment: Drug
Causes of Thrombocytosis - Differential Diagnosis
Secondary Thrombocytosis (a.k.a Reactive Thrombocytosis):
 β€’ Acute infection
 β€’ Solid organ
Causes of Thrombocytosis ... Differential Diagnosis Secondary ... Thrombocytosis): β€’ Acute infection ... Myelodysplastic syndrome ... #hematology #secondary
DRESS Syndrome vs SJS/TEN
DRESS
 β€’ Latency: 2-8 weeks
 β€’ Rash: Morbilliform
 β€’ Mucosal involvement: 50% have
DRESS Syndrome vs ... erosions β€’ CBC: Eosinophilia ... SCVMCMed #DRESS #Syndrome ... #SJS #TEN #comparison ... #table #dermatology
Hordeolum vs Chalazion

Hordeolum (Stye):
 β€’ Location: Most commonly found at or near an eyelash follicle
 β€’
eyelash follicle β€’ Cause ... : Bacterial infection ... upper lid β€’ Cause ... Stye #Chalazion #Comparison ... #Table
Scleroderma Like Conditions - Differential Diagnosis
Eosinophilic Fasciitis:
 - Orange peel induration (peau d'orange) of proximal extremities
Differential Diagnosis Eosinophilic ... the mainstay of treatment ... Systemic Fibrosis: - Secondary ... Differential #Diagnosis #comparison ... #table #dermatology
Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
Myelodysplastic Syndrome ... old, ~10,000 new cases ... risk-stratification β€’ Risks: infection ... only curative treatment ... #hematology #oncology