Dr. Gerald Diaz @GeraldMD
32.8M 13.9K 7.4K
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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PLACO Mnemonic - Approach to Acid-Base Disorders
P - Determine the pH
L - Labs: PCO2 & HCO3
A
PLACO Mnemonic - ... Approach to Acid-Base ... PLACO #AcidBase #Acid ... #Base #diagnosis ... #nephrology #Mnemonic
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Losses: β€’ Normal Acid-Base ... SAME, Cushing Syndrome ... , Gitelman syndrom ... 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 Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... Nephritic #Nephrotic #Syndrome ... Comparison #Algorithm #Nephrology
POUND Mnemonic for Diagnosis of Migraine Headache
P Is the headache Pulsatile in quality?
O Is the duration
POUND Mnemonic for ... there associated Nausea ... Headache #Pound #Mnemonic ... #PrimaryCare #Neurology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... D-lactate (short bowel syndrome ... Diagnosis #Summary #Nephrology ... ABG #bloodgas #Acid ... #Base #Gas #VBG
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... experience, the cause ... surgery; as in our case ... #physicalexam #neurology
β–Ί
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
alkalosis, Hungry bone syndrome ... Tumor genesis syndrome ... Denosumab, Estrogen based ... FGF-23: Fanconi syndrome ... Workup #phosphate #nephrology
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 ... ↓ Aldosterone: Syndrome ... , Gitelman syndrome ... differential #potassium #nephrology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Paraprotein-associated (POEMS syndrome ... differential #diagnosis #causes ... #neurology
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 ... Cirrhosis, Nephrotic syndrome ... table #sodium #nephrology