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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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
on POCUS Amazing ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS
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Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Ureterosigmoidoscopy β€’ HTN, Low ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
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
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 ... consumption β€’ Low ... differential #potassium #nephrology ... #low
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Characterized by low ... near arm tremor caused ... clinical #video #neurology
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How much sodium is in 1 Liter of Normal Saline? In Bags if Potato Chips
How much sodium ... normal #saline #ns #nephrology ... #sodium #comparison
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Resistance, Main Uses ... - Dopamine, low ... Effect #Management #Comparison
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... can be high or low ... Primary polydipsia), Low ... table #sodium #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 β€’ Sodium 130 mEq/L
 β€’
Saline (NS) - Comparison ... shift β€’ Saline Causes ... decreased renal blood flow ... β€’ Saline May Cause ... Normal #Saline #NS #comparison
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... surgery; as in our case ... video highlights how ... #physicalexam #neurology
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