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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Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 β€’ Direct lesion contact during sex is responsible
Symmetric macular ... Albuminuria, nephrotic syndrome ... Headache, meningitis, ocular ... stages #diagnosis #management ... #Treatment
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... - Ocular syphilis ... and nephrotic syndrome ... have positive serology ... roots, causing a syndrome
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Syphilis - CDC 2021 Treatment Guidelines
Recommended Regimen:
 β€’ Primary, secondary, and early latent: adults (including pregnant
Syphilis - CDC 2021 ... Treatment Guidelines ... Neurosyphilis, ocular ... #CDC #CDC2021 #Treatment ... #Guidelines #Management
Treatment Recommendations for Syphilis in Non-Pregnant Adults by Syphilis Stage

Incubating Infection, Primary, Secondary, Early Latent Syphilis:
Treatment Recommendations ... for Syphilis in ... Neurosyphilis or Ocular ... #Syphilis #Management ... Primary #Latent #Treatment
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... #HepatoRenal #Syndrome ... #Nephrology #Management ... #Medications #Treatment
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 β€’ Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... Encephalopathy #Syndrome ... #Treatment #Management ... #Neurology
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
Drugs Used for the Treatment ... Editor Note (from ophthalmology ... More precisely "macular ... Even with macular ... Pharmacology #Table #Management
Hepatorenal Syndrome Treatment
Volume expansion: 
 β€’ Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... Treatment Volume ... #Hepatorenal #Syndrome ... #Treatment #management ... #HRS #nephrology
Behcet's Syndrome - Treatment
Ulcers:
 β€’ Treatment: Topical steroids
 β€’ Prevention: Colchicine
 β€’ Azathioprine for refractory disease
Arthritis:
Behcet's Syndrome ... : β€’ Treatment: ... refractory lesions Ocular ... Behcets #disease #Syndrome ... #Treatment #management