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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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Acetazolamide Causes ... - Salicylates Causes ... Diagnosis #Summary #Nephrology ... #Acid #Base #Gas
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... : • Normal Acid-Base ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #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 ... in this case. ... #vascular #clinical
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Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
complications such as ... The next step in ... wasting from other causes ... suggests extra-renal causes ... differential #potassium #nephrology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
demonstrated the classic ... , the cause is more ... in our case where ... 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 Urine ... restriction alone in ... table #sodium #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
patient presented to clinic ... An APD was noted ... fasciculus), which causes ... The most common causes ... ophthalmology #neurology
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Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
the radial nerve in ... happens sleeping as ... in this case, due ... #PhysicalExam #clinical ... #msk #sports #neurology
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Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... this case) with ... Clinical confirmation ... rare bilateral cases ... #physicalexam #neurology
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Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
other potential causes ... the condition, case ... steroids (some cases ... Ophthalmicus #HZO #clinical ... #physicalexam #neurology
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