Dr. Gerald Diaz @GeraldMD
23.7M 13.8K 7.3K
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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14 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... #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
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Etiologies of Peripheral ... Paraprotein-associated (POEMS syndrome ... @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
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
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
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
methylmalonic acid ... by ordering a peripheral ... the most likely cause ... recovery also causes ... #Diagnosis #Macrocytosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... - Differential Diagnosis ... D-lactate (short bowel syndrome ... #Summary #Nephrology ... ABG #bloodgas #Acid
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... suggests extra-renal causes ... , Gitelman syndrome ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... of Horner's syndrome ... experience, the cause ... #physicalexam #neurology
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