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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17 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 ... , Gitelman syndrom ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
Virilization - Differential ... β€’ Cushing's Syndrome ... #Virilization #Differential ... Diagnosis #Algorithm #endocrinology ... #causes
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 β€’ Primary Hyperparathyroidism
 β€’ Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... Solid Tumors: Lung ... Hypercalcemia #Differential ... Diagnosis #Algorithm #causes ... #endocrinology
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS ... #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 ... Differentials? ... D-lactate (short bowel syndrome ... or restrictive lung ... bloodgas #Acid #Base
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... the apex of the lung ... experience, the cause ... surgery; as in our case ... #clinical #video
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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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Laceration bleeding into a water bath on POCUS

Laceration bleeding into a water bath! Taking name suggestions.
water bath on POCUS ... Cotton @SonoMojo In case ... we didn't scan long ... bleeding #waterbath #POCUS ... #clinical #ultrasound
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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 ... #Hyponatremia #differential