Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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clinical diagnosis video physicalexam differential neurology algorithm workup anisocoria endocrinology hypokalemia potassium pupil respiratory summary abg acid acidbase adies alternating
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Ureterosigmoidoscopy • 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
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... Nephritic #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 • Low ... differential #potassium #nephrology ... #low
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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 Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia Low ... PTHrP: - Low ... disease, Milk Alkali Syndrome ... disease, Viral Syndromes ... Algorithm #Workup #nephrology
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... experience, the cause ... video highlights how ... clinical #video #ophthalmology ... #physicalexam #neurology
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 Right Oculomotor (CNIII) Palsy caused by Stroke Dr. Bruno Farnetano @bruno.farnetano #Oculomotor #CNIII #Palsy #clinical #video #CN3 #clinical
(CNIII) Palsy caused ... clinical #video #neurology ... #physicalexam #ophthalmology
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 Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
Polycystic Ovarian Syndrome ... • Cushing's Syndrome ... Tumor Low Serum ... Paraneoplastic Syndrome ... endocrinology #causes
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Tumor genesis syndrome ... • Normal or Low ... - Normal or Low ... FGF-23: Fanconi syndrome ... Workup #phosphate #nephrology
Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... • Ophthalmologic ... Ocular clonus (slow ... ucsdim #Serotonin #Syndrome
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