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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12 results
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 ... this case) with ... rare bilateral cases ... #physicalexam #neurology
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Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... ; oliguria • Classic ... MatthewHoMD #Acute ... #Algorithm #nephrology ... #diagnosis
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 ... , the cause is more ... #physicalexam #neurology ... #Anisocoria
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Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
• Inflammatory/AI ... Fabry's disease, Acute ... #differential #diagnosis ... #causes #neurology
Acute Pharyngitis: Differential Diagnosis
Infectious:
 • Respiratory viruses (25-45%)
 • Group A Strep (5-15%)
 • Other bacteria:
Acute Pharyngitis ... : Differential Diagnosis ... Exposure to dry air ... #Differential #Diagnosis ... #causes
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
Monoarthritis - Differential Diagnosis
Infection (Acute):
 - S. aureus (most common)
 - S. pneumonia
 - Salmonella (in
- Differential Diagnosis ... Infection (Acute ... - Salmonella (in ... #Differential #Diagnosis ... #Causes #Schema
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
The next step in ... wasting from other causes ... suggests extra-renal causes ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Stool Cultures - Indications in Diarrhea
Patient Categories to Order Stool Cultures On:
 • Persisting 1 week
- Indications in ... Few infectious causes ... of acute gastroenteritis ... #Indications #diagnosis
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
blood but not in ... states such as acute ... shift • Saline Causes ... • Saline May Cause ... NS #comparison #pharmacology