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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16 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... β€’ Normal Acid-Base ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes ... #nephrology
Causes of Hypocomplementemia - CHAMPS Mnemonic
C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis
H - Heavy Chain deposition
Causes of Hypocomplementemia ... - CHAMPS Mnemonic ... antiphospholipid syndrome ... Hypocomplementemia #Low ... #diagnosis #differential
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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Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Denosumab, Estrogen based ... β€’ Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... Algorithm #Workup #nephrology
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
Virilization - Differential ... β€’ Cushing's Syndrome ... Tumor Low Serum ... #Virilization #Differential ... endocrinology #causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... consumption β€’ Low ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
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 ... can be high or low ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #differential
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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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Differentials? ... D-lactate (short bowel syndrome ... Diagnosis #Summary #Nephrology ... bloodgas #Acid #Base