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 Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Ophthalmologic: Mydriasis, Ocular ... clonus (slow horizontal ... #Symptoms #spectrum ... #signs #diagnosis
Aplastic Anemia - Illness Script
Signs and symptoms:
 β€’ Recurrent infections from neutropenia
 β€’ Mucosal bleeding from
Illness Script Signs ... and symptoms: ... bleeding from low ... Symptomatic anemia Diagnosis ... neutropenic fever) Complications
Polycythemia Vera (PV) - Diagnosis and Management Summary
Diagnostic Criteria:
 β€’ Elevated hemoglobin and/or hematocrit AND
 β€’
Polycythemia Vera (PV) - Diagnosis ... Management Summary Diagnostic ... OR Abnormally low ... When present, symptoms ... , signs, and complications
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
life threatening complications ... #Hypokalemia #diagnosis ... #Algorithm #differential ... #potassium #nephrology ... #low
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... pattern of spread, B symptoms ... B-Cell ~90% β€’ Low ... Responsive to Treatment ... #NonHodgkin #differential
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration β€’ Symptoms ... changes, stroke symptoms ... WBC >100k, + lab signs ... , Elevated Cr, Low ... #TLS #diagnosis
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... melena - Other GI symptoms ... third of esophagus Treatment ... : - Treatment of ... supportive care Complications
Risk Factors and Signs of Copper Deficiency
Risk Factors:
 β€’ Gastrointestinal: Previous upper bowel resection/bariatric surgery, Inflammatory
diarrhoea, Short bowel syndrome ... dental fixatives, Treatment ... Musculoskeletal: Low ... Copper #Deficiency #diagnosis ... #symptoms #nutrition
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Consider refeeding syndrome ... and vasomotor symptoms ... Tx: Small and low ... gastroenterology #diagnosis ... #differential
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... or induced by treatment ... how the right pupil ... #clinical #video ... #physicalexam #neurology
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