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
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... : β€’ Normal Acid-Base ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... In this case, the ... than 3mm in this case ... rare bilateral cases ... #physicalexam #neurology
β–Ί
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
demonstrated the classic ... consistent with a diagnosis ... experience, the cause ... #physicalexam #neurology ... #Anisocoria
β–Ί
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
: Causes of High ... starvation, diabetic) Causes ... Acetazolamide Causes ... Mineralocorticoid excess Causes ... - Salicylates Causes
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 ... suggests urinary losses ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
methylmalonic acid ... the most likely cause ... recovery also causes ... #Diagnosis #Macrocytosis
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
; oliguria β€’ Classic ... sterile pyuria, WBC casts ... proteinuria, granular casts ... AIN #Algorithm #nephrology ... #diagnosis
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
- Differential Diagnosis ... #Differential #Diagnosis ... #causes #neurology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
#differential #diagnosis ... #causes #neurology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 β€’ Sodium 130 mEq/L
 β€’
lactate NOT lactic acid ... shift β€’ Saline Causes ... β€’ Saline May Cause ... NS #comparison #pharmacology