Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 โ€ข Polycystic Ovarian Syndrome
 โ€ข Hyperthecosis
 โ€ข Tumor
Adrenal
- Differential Diagnosis ... Tumor Low Serum ... #Differential #Diagnosis ... #Algorithm #endocrinology ... #causes
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 โ€ข Normal Acid-Base: Low intake
 โ€ข Metabolic acidosis: Gl tract
- Differential Diagnosis ... Normal Acid-Base: Low ... #Differential #Diagnosis ... #Algorithm #causes ... #potassium #low
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
for the liver ALP ... Biliary tree or bile flow ... Transaminase, ALP ... Transaminitis #diagnosis ... #hepatology
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 โ€ข Onset/Trimester: 25-32 weeks
 โ€ข Typical clinical features:
necrosis HELLP Syndrome ... Liver enzymes, and Low ... of Pregnancy (AFLP ... #differential #diagnosis ... #icp #HELLP #AFLP
Causes of Hypocomplementemia - CHAMPS Mnemonic
C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis
H - Heavy Chain deposition
Causes of Hypocomplementemia ... antiphospholipid syndrome ... Hypocomplementemia #Low ... CHAMPS #Mnemonic #diagnosis ... #differential #hematology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 โ€ข Primary Hyperparathyroidism
 โ€ข Familial Hypocalciuric Hypercalcemia
Low
- Differential Diagnosis ... Hypercalcemia Low ... #Differential #Diagnosis ... #Algorithm #causes ... #endocrinology
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 โ€ข Low ... #Hypokalemia #diagnosis ... potassium #nephrology #low
Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Stevens-Johnson Syndrome ... Staphylococcal scalded skin syndrome ... , caused by the ... differentiating between the diagnosis ... Nikolskys #Sign #TEN #Dermatology
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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 ... video highlights how
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Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isnโ€™t a diagnosis. Like many things, it is a condition
an underlying cause ... Better call hematology ... levels: realllly low ... about secondary causes ... Algorithm #workup #hematology