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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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... cause of AVS and ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Etiologies of Peripheral ... β€’ Infectious: HIV ... @uncimchiefs #Peripheral ... #differential #diagnosis ... #causes #neurology
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... distinguishing between causes ... of peripheral vertigo ... #differential #diagnosis ... #comparison #table
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
by ordering a peripheral ... It may be necessary ... the most likely cause ... #Diagnosis #Macrocytosis ... Algorithm #Workup #AAFP
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 Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
If present, it should ... wasting from other causes ... suggests extra-renal causes ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
Deficiency Etiology: β€’ Vit ... β€’ Common Causes ... findings, HSM, LN, peripheral ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
(v2.5) It reflects ... 31 β€’ First US case ... emergency 2020-3-12 Diagnosis ... hazy bilateral peripheral ... unilateral* β€’ POCUS
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... It can be easier ... #differential #diagnosis ... table #sodium #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
It results from ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
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