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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11 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
cause of AVS and ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA
Hemolytic Anemia - Differential Diagnosis Algorithm
Hereditary:
 β€’ Peripheral blood smear + DAT + further History
 β€’
Hemolytic Anemia ... - Differential Diagnosis ... Hereditary: β€’ Peripheral ... #Differential #Diagnosis ... #Algorithm #causes
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Etiologies of Peripheral ... DiabetesB12 deficiency, Uremia ... @uncimchiefs #Peripheral ... #differential #diagnosis ... #causes #neurology
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
of macrocytic anemia ... by ordering a peripheral ... the most likely cause ... recovery also causes ... #Diagnosis #Macrocytosis
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
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
- Differential Diagnosis ... : CKD, ESRD β€’ CV ... ILD, OSA, pHTN, Anemia ... #Differential #Diagnosis ... #causes #neurology
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
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... Renal failure (uremia ... sedation, narcotics, CVA ... Interpretation #Diagnosis ... #Summary #Nephrology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... wt loss β€’ If anemia ... findings, HSM, LN, peripheral ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
One and a Half Syndrome on Physical Exam

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