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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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
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... echogenic as in this case ... for underlying cause ... #vascular #clinical
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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 ... experience, the cause ... surgery; as in our case ... #clinical #video ... #physicalexam #neurology
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Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by
site selection - Clinical ... Decision Aid IJ ... vs Femoral by ease ... - Casey Parker
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
WMAs support your case ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS
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Asteroid Hyalosis on Point of Care Ultrasound (POCUS)

Very cool case from colleague at one of my
Care Ultrasound (POCUS ... ) Very cool case ... Ocular #Ultrasound #POCUS ... #Clinical
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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
US Preventive Services Task Force - Prostate Cancer Screening - Update 2018
Patient Decision Aid

 - Men
Patient Decision Aid ... screening with their clinician ... recommends against PSA-based ... #Management #Urology