Dr. Gerald Diaz @GeraldMD
32.7M 13.9K 7.4K
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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23 results
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
anti-gamma aminobutyric acid ... isoxazolepropionic acid ... #encephalitis #comparison ... #table #neurology ... #diagnosis
PLACO Mnemonic - Approach to Acid-Base Disorders
P - Determine the pH
L - Labs: PCO2 & HCO3
A
- Approach to Acid-Base ... PLACO #AcidBase #Acid ... #Base #diagnosis ... #nephrology #Mnemonic
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
and serum uric acid ... sodium low, uric acid ... high and uric acid ... Differential #Algorithm #Diagnosis ... #Nephrology
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
and Alkalosis - Diagnostic ... Methanol (formic acid ... glycol (-> oxalic acid ... infusion #Diagnosis ... Recommended Text: Nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Losses: β€’ Normal Acid-Base ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... - Differential Diagnosis ... Interpretation #Diagnosis ... #Summary #Nephrology ... ABG #bloodgas #Acid
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
methylmalonic acid ... the most likely cause ... recovery also causes ... #Diagnosis #Macrocytosis
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 β€’ Sodium 130 mEq/L
 β€’
Saline (NS) - Comparison ... lactate NOT lactic acid ... shift β€’ Saline Causes ... β€’ Saline May Cause ... Normal #Saline #NS #comparison
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
sterile pyuria, WBC casts ... proteinuria, granular casts ... AIN #Algorithm #nephrology ... #diagnosis