Dr. Gerald Diaz @GeraldMD
23.5M 13.8K 7.2K
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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Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
of Peripheral Neuropathy ... Hypothyroidism β€’ Medication-induced ... #Peripheral #Neuropathy ... #differential #diagnosis ... #causes #neurology
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 ... Summary #management #medications
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
- Differential Diagnosis ... Sensitive Input: Sens. neuropathy ... Visual Impairment, Medications ... #Differential #Diagnosis ... #neurology
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
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Intern Pocket Cards - Inpatient Bowel Regimen Guide
Osmotic agents (draws water into bowel, thereby loosening stool
Polyethylene glycol - Nausea ... Magnesium citrate - Watery ... Guide #Inpatient #medications ... #constipation #pharmacology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... gastric acidity, medications ... cognitive slowing, neuropathy ... LN, peripheral neuropathy ... consider other diagnosis
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
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