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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Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re disease,
Peripheral and Central Causes ... of Vertigo Peripheral ... Causes (Common) ... Wallenberg syndrome ... #differential #
Hyperviscosity Syndrome - Causes and Treatment

 - Waldenstrom macroglobulinemia (most common) / Plasmapheresis 
 - Multiple
Hyperviscosity Syndrome ... - Causes and Treatment ... #Causes #Differential ... #Diagnosis #Treatment ... #Management
Dizziness and Vertigo Algorithm
Presyncope:
 β€’ Feels "faint" or like they are going to "pass out"
 β€’
Dizziness and Vertigo ... consciousness Vertigo ... Associated with nausea ... Algorithm #dizzy #differential ... diagnosis #neurology #management
Carbon Monoxide Poisoning

Symptoms are non-specific:
 - Headache 90%
 - Nausea/vomiting 50%
 - Vertigo 50%
 - Altered
Headache 90% - Nausea ... vomiting 50% - Vertigo ... Treatment: 100% ... Toxicology #diagnosis #management
Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
Myelodysplastic Syndrome ... old, ~10,000 new cases ... only curative treatment ... Myelodysplastic #Syndrome ... #treatment #hematology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... maintained fever CAUSES ... #Hyperthermia #Differential ... #Causes #Anesthesiology ... Checklist #Diagnosis #Management
Medications associated with neuroleptic malignant syndrome

First-generation and second-generation antipsychotics are dopamine receptor antagonists, which produce a
neuroleptic malignant syndrome ... after years of treatment ... #Diagnosis #Differential ... NeurolepticMalignant #Syndrome ... Medications #Drugs #Causes
Fever vs Hyperthermia
Fever:
 β€’ Regulated in the hypothalamic thermoregulatory center
 β€’ "Set point" raised by prostaglandin
Neuroleptic malignant syndrome ... ; Serotonin syndrome ... β€’ Treatment: ... comparison #diagnosis #management ... #treatment
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... the underlying cause ... demyelination syndrome ... #Hyponatremia #Differential ... #management #nephrology
Treatment of NMS
 Dopamine antagonists should be discontinued immediately in patients suspected of NMS. Like SS,
Treatment of NMS ... hyperthermia, and management ... considered in milder cases ... #Management #NeurolepticMalignant ... #Syndrome #NMS