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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Causes of Thrombocytosis - Differential Diagnosis
Secondary Thrombocytosis (a.k.a Reactive Thrombocytosis):
 • Acute infection
 • Solid organ
Causes of Thrombocytosis ... Thrombocytosis): • Acute infection ... Post-splenectomy Primary ... Myelodysplastic syndrome ... #hematology #secondary
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 ... roots, causing a syndrome
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
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
1) Primary Syphilis ... responsible for most cases ... . 2) Secondary ... Albuminuria, nephrotic syndrome ... • Primary, secondary
Approach to Elevated Tryptase - Differential Diagnosis Framework

The DDx of elevated tryptase can be broken down
pass = Dangerous secondary ... Chronic & Rx-related Secondary ... • Parasitic infections ... 3rd pass = Primary ... cell activation syndrome
Hemophagocytic Lymphohistiocytosis (HLH) Treatment
Primary HLH:
 - HLH-94 Protocol
    • Dexamethasone
Lymphohistiocytosis (HLH) Treatment ... Primary HLH: - ... transplantation Secondary ... associated with infection ... #management #hematology
Idiopathic CD4 Lymphopenia (ICL) / Lymphocytopenia 

DIAGNOSTIC CRITERIA FOR ICL
 • Persistent CD4 T-cell lymphopenia
 •
NO underlying primary ... or secondary immune ... chemotherapy) • Genetic syndromes ... myelodysplasia) • Infections ... #Differential #Causes
Pyoderma Gangrenosum (PG)
50 M Crohn’s dz had a small pustule on the ankle 4 mo ago
cyclosporine is used PG secondary ... treatment options ... Indiana University Infectious ... #PG #clinical #photo ... #dermatology #ulcer