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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15 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... In this case, the ... than 3mm in this case ... rare bilateral cases ... #physicalexam #neurology
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Abdominal Pain - Differential Diagnosis According to Localization of Abdominal Pain 

Abdominal pain can originate from
based on anatomic ... extra-abdominal causes ... #Diagnosis #Differential ... #Localization #Causes ... Text: Evidence-Based
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
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... surgery; as in our case ... #physicalexam #neurology ... #Anisocoria
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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.
Acid Base Disorders ... Diagnosis: Causes ... Interpretation #Diagnosis ... #Summary #Nephrology ... bloodgas #Acid #Base
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
WMAs support your case ... UltrasoundJelly #Clinical #Diagnosis ... #POCUS #Echocardiogram
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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 ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Generalized Weakness - Differential ... Diagnosis Framework ... Generalized #Weakness #Differential ... #Diagnosis #causes ... #neurology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Diagnosis Framework ... Denosumab, Estrogen based ... #Diagnosis #Framework ... Workup #phosphate #nephrology