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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13 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... Diagnosis: Causes ... Renal failure (uremia ... #Summary #Nephrology ... #ABG #bloodgas
Hemolytic Anemia - Differential Diagnosis Algorithm
Hereditary:
 β€’ Peripheral blood smear + DAT + further History
 β€’
- Differential ... Diagnosis Algorithm ... #Differential # ... Diagnosis #Algorithm ... #causes
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... the most likely cause ... recovery also causes ... #Diagnosis #Macrocytosis ... #Homocysteine #Algorithm
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... associated with AIN ... #Algorithm #nephrology ... #diagnosis
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Generalized Weakness - Differential ... Diagnosis Framework ... ILD, OSA, pHTN, Anemia ... #Diagnosis #causes ... #neurology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... Algorithm Instead ... #Hyponatremia #Differential ... #Algorithm #Diagnosis ... #Nephrology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... Worsening macrocytic anemia ... wt loss β€’ If anemia ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
DiabetesB12 deficiency, Uremia ... β€’ Inflammatory/AI ... Peripheral #Neuropathy #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 ... dysmorphic RBCs in ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis