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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14 results
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential ... disease, Milk Alkali Syndrome ... disease, Viral Syndromes ... #nephrology #PTH
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... , Gitelman syndrom ... #Hypokalemia #Differential ... 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
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... Nephritic #Nephrotic #Syndrome ... Comparison #Algorithm #Nephrology
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
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Paraprotein-associated (POEMS syndrome ... Peripheral #Neuropathy #differential ... #diagnosis #causes ... #neurology
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 ... , Gitelman syndrome ... diagnosis #Algorithm #differential ... #potassium #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
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... experience, the cause ... surgery; as in our case ... #physicalexam #neurology
β–Ί
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... acidosis Step 5 - Differential ... D-lactate (short bowel syndrome ... Diagnosis #Summary #Nephrology ... Base #Gas #VBG #differential
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #differential ... table #sodium #nephrology