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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CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
Chorioretinitis β€’ Diagnosis ... multiple lesions Infectious ... #differential #diagnosis ... #causes #radiology ... #neurology
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
are caused by members ... Rhinosinusitis, CNS ... this morphology Treatment ... Diseases Fellows ... #Management #treatment
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... lobar pneumonia caused ... respond to the treatment ... pneumonia (OP) and ... #Diagnosis #Radiology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... or induced by treatment ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 β€’ Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
lesion Pott's Disease ... neurological symptoms β€’ Caused ... not direct infection ... or abruptly β€’ CN ... #Tuberculosis #diagnosis
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
The table below ... LBRF can be diagnosed ... can be used for diagnosis ... initiation of treatment ... Infectious Diseases
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
is identified (video ... function, no valvular disease ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
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Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... confirm DAH, r/o infection ... Goodpasture's cause ... #management #treatment
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
diagnosis can only ... in up to 30% of cases ... large infarct - Infectious ... Diseases Fellows ... #table
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... soles in 50% of cases ... to asymptomatic infection ... Latent #Tertiary #Diagnosis ... Diseases - https