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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15 results
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
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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Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... Denosumab, Estrogen based ... Diagnosis #Framework #Workup ... #phosphate #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... β€’ Normal Acid-Base ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
microbiological techniques Work-up ... but important causes ... ID_fellows #BCNIE #BloodCulture ... Endocarditis #diagnosis #differential ... #workup #infectiousdiseases
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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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 ... table #sodium #nephrology
Mother's Kiss Technique for Nasal Foreign Body Removal
NASAL FOREIGN BODY: children enjoy sticking objects up their
In a systematic case ... this technique worked ... feel resistance caused ... reviewed eight case ... series and case
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Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
complications such as ... wasting from other causes ... suggests extra-renal causes ... diagnosis #Algorithm #differential ... #potassium #nephrology
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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