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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Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... β€’ Normal Acid-Base ... #Algorithm #causes ... #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 ... consumption β€’ Low ... #diagnosis #Algorithm ... #low
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
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 ... Present (Uosm β‰₯100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... Denosumab, Estrogen based ... β€’ Normal or Low ... - Normal or Low ... #Differential #Diagnosis
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... surgery; as in our case ... video highlights how ... #physicalexam #neurology
β–Ί
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... - Differential Diagnosis ... D-lactate (short bowel syndrome ... #Summary #Nephrology ... bloodgas #Acid #Base
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Platypnea-Orthodeoxia Syndrome ... Physical Exam The case ... patient with a diagnosis ... platypnea-orthodeoxia syndrome ... You can observe how
β–Ί
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID19 in the ICU, now ... 31 β€’ First US case ... emergency 2020-3-12 Diagnosis ... unilateral* β€’ POCUS ... COVID19 #Cheatsheet #Diagnosis
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
or fungi (grows slow ... but important causes ... BCNIE Diagnostic ... factors: - Serology ... antiphospholipid syndrome