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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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... cause of AVS and ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Etiologies of Peripheral ... @uncimchiefs #Peripheral ... #differential #diagnosis ... #causes #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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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
POUND Mnemonic for Diagnosis of Migraine Headache
P Is the headache Pulsatile in quality?
O Is the duration
POUND Mnemonic for Diagnosis ... there associated Nausea ... LikelihoodRatio #Diagnosis ... #PrimaryCare #Neurology
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
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
- Differential Diagnosis ... Vertigo: β€’ Peripheral ... #Differential #Diagnosis ... #neurology
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
- Differential Diagnosis ... #Differential #Diagnosis ... #causes #neurology
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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