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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Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
WMAs support your case ... UltrasoundJelly #Clinical #Diagnosis ... #POCUS #Echocardiogram ... WallMotionAbnormality #Coronary #Artery
β–Ί
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 β€’ Increases BP, SVR
 β€’ Risk of reflex bradycardia
and Inotropes - Pharmacology ... β€’ Higher doses cause ... kg/min): renal artery ... cAMP/cGMP β€’ Causes ... Vasopressors #Inotropes #Pharmacology
Etiology of Splenic Infarction:
 β€’ Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 β€’ Embolic disease: Atrial
Vasculitis, Splenic artery ... aneurysm, Splenic artery ... #differential #diagnosis ... #causes
Acute and long-term complications of acute STEMI
Acute and long-term complications of acute myocardial infarction are summarized
the coronary artery ... artery occlusion ... They cause the vast ... remodeling can cause ... #Diagnosis #Cardiology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... Comparison #Algorithm #Nephrology ... #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... such as a carotid artery ... experience, the cause ... surgery; as in our case ... #physicalexam #neurology
β–Ί
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
sterile pyuria, WBC casts ... proteinuria, granular casts ... AIN #Algorithm #nephrology ... #diagnosis
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
- Differential Diagnosis ... #Differential #Diagnosis ... #causes #neurology