Dr. Gerald Diaz @GeraldMD
32.9M 14.0K 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 ... Calculate Anion Gap ... 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 ... If the patient has ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... Comparison #Algorithm #Nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Steps for Blood Gas ... D-lactate (short bowel syndrome ... Diagnosis #Summary #Nephrology ... ABG #bloodgas #Acid
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 ... in our case where ... #physicalexam #neurology
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... One and a Half Syndrome ... fasciculus), which causes ... The most common causes ... ophthalmology #neurology
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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 ... , Gitelman syndrome ... differential #potassium #nephrology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... other potential causes ... Orbital Apex Syndrome ... Orbital #Apex #Syndrome ... #physicalexam #neurology
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Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
but important causes ... factors: - Serology ... antiphospholipid syndrome ... ID_fellows #BCNIE #BloodCulture
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
is a clinical syndrome ... can occur, such as ... reflex hammer, caused ... clinical #video #neurology
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