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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32 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... dysmorphic RBCs in ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... sterile pyuria, WBC casts ... associated with AIN ... #Algorithm #nephrology
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... become echogenic as in ... for underlying cause ... Jugular #IJ #Vein #POCUS
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Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... Instead (or in ... uric acid high in ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... The next step in ... wasting from other causes ... suggests extra-renal causes ... differential #potassium #nephrology
Kernig's Sign in Meningitis

Resistance or pain elicited by passive extension of the knees, thought to be
Kernig's Sign in ... Resistance or pain ... thought to be caused ... #physicalexam #neurology
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Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... the most likely cause ... recovery also causes ... an elevation in ... #Homocysteine #Algorithm
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... validated only in ... patients with an ... #PhysicalExam #Neurology
Hydrophobia on Physical Examination

Seen in the late stages of rabies.  Caused by painful paroxysmal contractions
Examination Seen in ... Caused by painful ... clinical #video #neurology
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