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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13 results
Brudzinski's Sign in Meningitis

Severe neck stiffness causes the patient's knees and hips to flex when the
Brudzinski's Sign ... in Meningitis ... 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 ... in Meningitis ... neck stiffness causes ... #Brudzinskis #Sign ... #physicalexam #neurology
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Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... ; oliguria β€’ Classic ... associated with AIN ... #Algorithm #nephrology
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
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... The next step in ... wasting from other causes ... suggests extra-renal causes ... 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 ... dysmorphic RBCs in ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
β€’ Inflammatory/AI ... 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
75yoF was referred in ... demonstrated the classic ... , the cause is more ... our case where ... #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 ... restriction alone in ... Uosm <100): Renal Losses ... table #sodium #nephrology