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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Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
Clinical manifestations ... of acute liver ... pancreatitis Lungs ... : Acute lung injury ... Signs #Symptoms #Diagnosis
COVID-19 Diagnosis and Management Summary
Clinical and laboratory testing
Lung Ultrasound
HRCT scan
In-hospital treatment
Severity assessment and respiratory support 
Post-mortem
COVID-19 Diagnosis ... Management Summary Clinical ... laboratory testing Lung ... Ultrasound HRCT ... scan In-hospital treatment
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
Acute-on-Chronic Liver ... Failure (ACLF) Clinical ... months without treatment ... Brain Failure Lung ... gastroenterology #management #diagnosis
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Streptococcal Toxic Shock Syndrome ... 50% in nec fasc Diagnostic ... (2+): kidneys, liver ... , lung/ARDS, coagulopathy ... #STSS #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Insufficiency, Liver ... Abdominal compartment syndrome ... #criticalcare #algorithm ... #treatment #management
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... Chest X-ray - Lung ... ultrasound (thorough ... as clinically indicated ... iBookCC #COVID19 #algorithm
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
QT Syndrome: Illness ... prevalence - 1/2000 live ... family history) Treatment ... Congenital #LongQT #Syndrome ... #Diagnosis #Cardiology
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
Algorithm for the ... Diagnosis of Serotonin ... - Clinical findings ... initiation of treatment ... #Syndrome #Algorithm
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 β€’ Natural phytochemical from turmeric
 β€’ 2g/day divided in 2-3
Potential GI SE, liver ... Nissle β€’ VSL#3: ↑ clinical ... β€’ Caution with long-term ... decreased dosing if liver ... #treatment #IBD
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... the apex of the lung ... or induced by treatment ... #clinical #video
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