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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14 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... of AVS and negative ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
complications such as ... wasting from other causes ... suggests extra-renal causes ... #diagnosis #Algorithm ... differential #potassium #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic ... hematuria (RBC casts ... Comparison #Algorithm #Nephrology ... #Diagnosis
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
- Differential Diagnosis ... Polyneuropathy, ALS ... #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 ... conditions such as ... experience, the cause ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 β€’ Sodium 130 mEq/L
 β€’
Lactated Ringers (LR) vs ... Is Dangerous in Hyperkalemia ... shift β€’ Saline Causes ... β€’ Saline May Cause ... NS #comparison #pharmacology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Present (Uosm β‰₯100): Hypovolemia ... #differential #diagnosis ... table #sodium #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Compensation, Acute vs ... - Differential Diagnosis ... : Causes of High ... Interpretation #Diagnosis ... #Summary #Nephrology
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
happens sleeping as ... in this case, due ... #Nerve #Palsy #PhysicalExam ... #msk #sports #neurology
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