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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Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 β€’ Shed in the urine, feces, saliva of
common route of infection ... Cardiopulmonary Syndrome ... +/- diarrhea Diagnosis ... #management #treatment ... #microbiology #
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 β€’ Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Framework Diagnosis ... NMS, serotonin syndrome ... Immunocompromise Treatment ... β€’ Secondary to Treatment
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... - Differential Diagnosis ... Urinothorax Exudate - Infectious ... Malignancy β€’ Pulmonary ... #Hepatology #causes
Differential Diagnosis of Pulmonary Eosinophilia
Infection:
 β€’ Helminthic: Loffler syndrome (Ascaris, hookworm, Strongyloides), Tropical pulmonary eosinophilia (lymphatic
Differential Diagnosis ... Infection: β€’ ... Helminthic: Loffler syndrome ... #Differential #Diagnosis ... #causes
Lung Abscess
Microbiology:
 β€’ Polymicrobial 
 β€’ Anaerobes (most common) 
Clinical: 
 β€’ Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... , hemoptysis Treatment ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
are caused by members ... HIV/AIDS, CGD) Clinical ... presentations: β€’ Pulmonary ... this morphology Treatment ... #Management #treatment
Hemoptysis - Differential Diagnosis Framework
Airways: 
 β€’ Bronchitis
 β€’ Bronchiectasis
 β€’ Malignancy: Primary bronchogenic CA, Endobronchial
- Differential Diagnosis ... Parenchyma: β€’ Infection ... , Idiopathic pulmonary ... #Differential #Diagnosis ... #pulmonary #causes
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 ... #Management #treatment
Hordeolum vs Chalazion

Hordeolum (Stye):
 β€’ Location: Most commonly found at or near an eyelash follicle
 β€’
eyelash follicle β€’ Cause ... : Bacterial infection ... eyedrops, surgery #Clinical ... #Diagnosis #Management ... Chalazion #Comparison #Table
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
non-productive cough, nausea ... failure β€’ Severe pulmonary ... Epidemiologic exposure + clinical ... Leptospirosis #Leptospira #microbiology ... #diagnosis #treatment