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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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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Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
and Inotropes - Pharmacology ... Summary Vasopressors ... • Higher doses cause ... cAMP/cGMP • Causes ... #Summary #management
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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Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
When to suspect AIN ... ; oliguria • Classic ... associated with AIN ... #Algorithm #nephrology ... #diagnosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
: Causes of High ... starvation, diabetic) Causes ... Acetazolamide Causes ... - Salicylates Causes ... #Summary #Nephrology
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
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
• Inflammatory/AI ... #differential #diagnosis ... #causes #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
An APD was noted ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
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COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
31 • First US case ... emergency 2020-3-12 Diagnosis ... unilateral* • POCUS ... COVID19 #Cheatsheet #Diagnosis ... #Management #Summary
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... restriction alone in ... Uosm <100): Renal Losses ... #differential #diagnosis ... table #sodium #nephrology