Dr. Gerald Diaz @GeraldMD
39.5M 14.2K 7.5K
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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12 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses ... Differential #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 ... ; oliguria β€’ Classic ... sterile pyuria, WBC casts ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... for underlying cause ... Jugular #IJ #Vein #POCUS ... #vascular #clinical
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Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... Hypokalemia #diagnosis #Algorithm ... differential #potassium #nephrology
Brudzinski's Sign in Meningitis

Severe neck stiffness causes the patient's knees and hips to flex when the
neck stiffness causes ... Sign #Meningitis #clinical ... #physicalexam #neurology
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Brudzinski's Sign in Meningitis

Severe neck stiffness causes the patient's knees and hips to flex when the
neck stiffness causes ... Sign #Meningitis #clinical ... #physicalexam #neurology
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Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Rhabdomyolysis, Critical ... Differential #Diagnosis #causes ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
demonstrated the classic ... experience, the cause ... surgery; as in our case ... Horners #Syndrome #clinical ... #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 algorithm ... Uosm <100): Renal Losses ... table #sodium #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
patient presented to clinic ... fasciculus), which causes ... The most common causes ... #PhysicalExam #clinical ... ophthalmology #neurology
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