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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13 results
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... Assessment • Clinical ... Drugs, Unknown cause ... Treatment: • ... diagnosis #management #treatment
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
eyelash follicle • Cause ... : Bacterial infection ... upper lid • Cause ... eyedrops, surgery #Clinical ... Chalazion #Comparison #Table
Point-of-care Ultrasound for Diagnosis of Abscess in Skin and Soft Tissue Infections

1. POCUS is more accurate
and Soft Tissue Infections ... POCUS is more accurate ... cellulitis in cases ... abscess is not clinically ... VisualAbstract #EBM
IDSA Algorithm for the Management of Purulent skin and soft tissue infections (SSTIs). 
Mild infection: for
Mild infection: ... erysipelas with no focus ... oral antibiotic treatment ... or those with clinical ... including those caused
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
The table below ... Treatment is tetracycline ... initiation of treatment ... Infectious Diseases ... microscopy #pathology #clinical
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 ... Rash #Diagnosis #Clinical ... #Photo #Dermatology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... from the ulcer caused ... RR of bacterial infection ... varices #management #ebm ... #evidence #gastroenterology
Probiotics Guidelines
Adults with C difficile infection
 • Recommendation: Only in the context of a clinical trial
with C difficile infection ... on antibiotic treatment ... Children with acute infectious ... Probiotics #Guidelines #gastroenterology ... management #evidence #ebm
Protein Losing Enteropathy
Clinical Presentation:
 • Volume overload: Peripheral edema, pleural effusion or ascites.
 • Gl symptoms
Losing Enteropathy Clinical ... susceptibility infections ... without apparent cause ... 1.5 - 3 g/kg) • Treatment ... diagnosis #management #gastroenterology
Majocchi’s Granuloma due to Trichophyton rubrum 
This is GMS stain and culture of a skin biopsy
Treatment: Itraconazole ... tissues - mainly caused ... Majocchi granuloma Treatment ... recommended Mayo Clinic ... #photo #microscopy