Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis differential nephrology clinical physicalexam video workup hypokalemia ophthalmology potassium summary abg acid acidbase anisocoria apex bcnie bloodculture bloodgas breathing
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... • Normal Acid-Base ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Internal Jugular Vein Rouleaux Flow on POCUS Amazing video of a dilated IJV showing Rouleaux flow. Whenever
on POCUS Amazing ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS
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 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 ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Causes of Hypocomplementemia - CHAMPS Mnemonic C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis H - Heavy Chain deposition
Causes of Hypocomplementemia ... - CHAMPS Mnemonic ... antiphospholipid syndrome ... Hypocomplementemia #Low ... Complement #CHAMPS #Mnemonic
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... consumption • Low ... #low
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Differential Diagnosis Algorithm ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... #Workup #nephrology
Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
Differential Diagnosis Algorithm ... • Cushing's Syndrome ... Tumor Low Serum ... Differential #Diagnosis #Algorithm ... endocrinology #causes
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 ... algorithm Urine ... can be high or low ... Cirrhosis, Nephrotic syndrome
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Tumor genesis syndrome ... Denosumab, Estrogen based ... • Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
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 ... video highlights how ... #physicalexam #neurology
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