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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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... acidosis Step 5 - Differential ... Diagnosis: Causes ... Diagnosis #Summary #Nephrology ... #VBG #differential
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential ... Hypercalcemia #Differential ... Diagnosis #Algorithm #Workup ... #nephrology #PTH
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... Hypophosphatemia #Differential ... Diagnosis #Framework #Workup ... #phosphate #nephrology
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... become echogenic as ... for underlying cause ... Jugular #IJ #Vein #POCUS
β–Ί
Diagnostic algorithm for the workup of hypercalcemia. The diagnostic workup for patients presenting with hypercalcemia rests
algorithm for the workup ... The diagnostic workup ... and specificity was ... Hypercalcemia #Workup ... #Differential #
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... therefore be used as ... It has been validated ... #PhysicalExam #Neurology
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 ... Comparison #Algorithm #Nephrology
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Generalized Weakness - Differential ... Generalized #Weakness #Differential ... #Diagnosis #causes ... #neurology
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