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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15 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... β€’ Normal Acid-Base ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS
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Abdominal Pain - Differential Diagnosis According to Localization of Abdominal Pain 

Abdominal pain can originate from
Abdominal Pain - Differential ... diagnoses can be based ... extra-abdominal causes ... #Localization #Causes ... Text: Evidence-Based
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Diagnosis: Causes ... starvation, diabetic) Causes ... Acetazolamide Causes ... Mineralocorticoid excess Causes ... - Salicylates Causes
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... FEPO4 < 5%: β€’ GI Losses ... Denosumab, Estrogen based ... Hypophosphatemia #Differential ... Workup #phosphate #nephrology
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 ... clinical #video #ophthalmology ... #physicalexam #neurology
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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 ... diagnosis #Algorithm #differential ... #potassium #nephrology
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 ... Uosm <100): Renal Losses ... #Hyponatremia #differential ... table #sodium #nephrology
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 β€’ Infections (can become bilateral with cavernous sinus
Proptosis - Differential ... #Proptosis #Differential ... Unilateral #Bilateral #Causes ... #ophthalmology
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Generalized Weakness - Differential ... Generalized #Weakness #Differential ... #Diagnosis #causes ... #neurology