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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Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 β€’ Sodium 130 mEq/L
 β€’
Lactated Ringers ... Is Dangerous in Hyperkalemia ... shift β€’ Saline Causes ... β€’ Saline May Cause ... NS #comparison #pharmacology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diarrhea) Renal Losses ... @priti899 #Hypokalemia ... 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 ... Before evaluating hypokalemia ... wasting from other causes ... suggests extra-renal causes ... differential #potassium #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
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differential Diagnosis: Causes ... starvation, diabetic) Causes ... Acetazolamide Causes ... Mineralocorticoid excess Causes ... - Salicylates Causes
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 ... #Anisocoria
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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 ... Uosm <100): Renal Losses ... Present (Uosm β‰₯100): Hypovolemia ... table #sodium #nephrology