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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19 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Normal Acid-Base: Low ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 β€’ Infections (can become bilateral with cavernous sinus
Proptosis - Differential ... Diagnosis - Unilateral ... @AnnKumfer #Proptosis ... Unilateral #Bilateral #Causes ... #ophthalmology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... Comparison #Algorithm #Nephrology ... #Diagnosis
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 ... #Hypokalemia #diagnosis ... #low
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
- Differential Diagnosis ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... Algorithm #Workup #nephrology
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 ... video highlights how ... clinical #video #ophthalmology ... #physicalexam #neurology
β–Ί
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
- Differential Diagnosis ... β€’ Cushing's Syndrome ... Tumor Low Serum ... #Differential #Diagnosis ... endocrinology #causes
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Proptosis significantly ... Patient underwent a diagnostic ... The syndrome of ... exophthalmos consists of proptosis ... clinical #video #ophthalmology
β–Ί
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... β€’ Normal or Low ... - Normal or Low ... #Differential #Diagnosis ... Workup #phosphate #nephrology
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... β€’ Ophthalmologic ... Ocular clonus (slow ... ucsdim #Serotonin #Syndrome ... spectrum #signs #diagnosis