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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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 ... Anxiety, pain, fever ... bloodgas #Acid #Base
Fever in Returning Traveler - ABCDE Mnemonic
A - Adventure - Where did the patient travel? 
B
Fever in Returning ... Traveler - ABCDE Mnemonic ... B - Body for syndrome ... Traveler #ABCDE #Mnemonic ... #history #diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... 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
Causes of Hyperpyrexia (Temp > 106.7Β° F) - Differential Diagnosis
 β€’ Heat Stroke
 β€’ Drug-induced: Amphetamines,
Causes of Hyperpyrexia ... - Differential Diagnosis ... β€’ Serotonin syndrome ... #Causes #high # ... fever
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 ... surgery; as in our case
β–Ί
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 ... #differential #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 ... #Orthodeoxia #Syndrome
β–Ί
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Patient underwent a diagnostic ... Existing case reports ... any available case ... The syndrome of ... The cause of this
β–Ί
Antinuclear antibodies and Systemic lupus
Anti-dsDNA	60-80%	Association with disease activity (when with Farr assay) and lupus nephritis. Can
measured using ELISA-based ... SLE-SSc-AlM overlap syndromes ... diseases only if Ag ... erythematosus #diagnosis