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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Hypereosinophilia Syndrome (HES) - Diagnosis and Management
Definition: An absolute eosinophil count (AEC) greater than 1500 and
Hypereosinophilia Syndrome ... Secondary Causes ... hypersensitivity - Infection ... #HES #eosinophilia ... #diagnosis #hematology
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
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 β€’ Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... NMS, serotonin syndrome ... Soon: Can take 48 hrs ... Immunocompromise Treatment ... to Treatment: Drug
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
Pregnancy - TTP/HUS ... , HELLP Syndrome ... child * Severe cases ... #diagnosis #table ... #comparison
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
, but without treatment ... , the infection ... resembling rashes caused ... Diagnosis #Clinical #Photo ... #Dermatology
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
Erythemas Summarized
Erythema ab igne
 β€’ A dermatosis that results from repeated exposure to heat (fires, heating
Has more rarely ... shows numerous eosinophils ... PrathitKulkarni #Erythemas #comparison ... #table #differential ... #diagnosis #dermatology
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 ... to asymptomatic infection ... or unnoticed) has
Approach to Elevated Tryptase - Differential Diagnosis Framework

The DDx of elevated tryptase can be broken down
pass = Dangerous secondary ... Chronic & Rx-related Secondary ... ESRD & CAD β€’ Eosinophilic ... β€’ Parasitic infections ... cell activation syndrome
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
B recurrentis has ... Syndrome: 3d of ... The table below ... initiation of treatment ... Infectious Diseases