Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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13 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... • Normal Acid-Base ... #causes #potassium ... #low #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Steps for Blood Gas ... Diagnosis #Summary #Nephrology ... bloodgas #Acid #Base ... #Gas #VBG #differential
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
If the patient has ... hematuria (RBC casts ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... become echogenic as ... in this case. ... for underlying cause ... Jugular #IJ #Vein #POCUS
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Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based ... algorithm Urine ... #Hyponatremia #differential ... table #sodium #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... complications such as ... wasting from other causes ... #differential # ... potassium #nephrology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Exam A 75yoF was ... conditions such as ... experience, the cause ... in our case where ... #physicalexam #neurology
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Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Existing case reports ... any available case ... The cause of this ... Differentials for ... lymphangiomas are the cause
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Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
A young female was ... In this case, the ... than 3mm in this case ... rare bilateral cases ... #physicalexam #neurology
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Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
happens sleeping as ... in this case, due ... #msk #sports #neurology
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