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
Brudzinski's Sign in Meningitis

Severe neck stiffness causes the patient's knees and hips to flex when the
Brudzinski's Sign ... neck stiffness causes ... #Brudzinskis #Sign ... #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
Brudzinski's Sign ... neck stiffness causes ... #Brudzinskis #Sign ... #physicalexam #neurology
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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
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
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
differential #diagnosis #causes ... #neurology
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Differential #Diagnosis #causes ... #neurology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differential Diagnosis: Causes ... starvation, diabetic) Causes ... Acetazolamide Causes ... - Salicylates Causes ... Diagnosis #Summary #Nephrology
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 ... #physicalexam #neurology
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