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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13 results
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 #ABG ... #bloodgas #Acid
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Losses: β€’ Normal Acid-Base ... , Gitelman syndrom ... #Differential #Diagnosis ... #Algorithm #causes
Causes of Hypocomplementemia - CHAMPS Mnemonic
C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis
H - Heavy Chain deposition
Causes of Hypocomplementemia ... - CHAMPS Mnemonic ... antiphospholipid syndrome ... Complement #CHAMPS #Mnemonic ... #diagnosis #differential
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... of Horner's syndrome ... experience, the cause ... #clinical #video
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Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Nikolsky's sign is a clinical ... Stevens-Johnson Syndrome ... , caused by the ... differentiating between the diagnosis ... PhysicalExam #Video #Clinical
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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 ... patient presented to clinic ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... absorption 2/2 ab ... intrinsic factor, IF) Clinical ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
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 ... #PhysicalExam #clinical
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Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
weeks β€’ Typical clinical ... Elevated bile acids ... necrosis HELLP Syndrome ... post-partum β€’ Typical clinical ... #differential #diagnosis
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... topical injury (by acid ... restored to esophagus Clinical ... retrosternal chest pain Diagnosis ... Esophageal #Necrosis #diagnosis