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
Virilization - Differential ... Diagnosis Algorithm ... Tumor Low Serum ... #endocrinology ... #causes
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 โ€ข Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential ... Diagnosis Algorithm ... Hypercalcemia Low ... PTHrP: - Low
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 โ€ข Normal Acid-Base: Low intake
 โ€ข Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... #Hypokalemia #Differential ... #Diagnosis #Algorithm ... #causes #potassium
Causes of Hypocomplementemia - CHAMPS Mnemonic
C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis
H - Heavy Chain deposition
Causes of Hypocomplementemia ... - CHAMPS Mnemonic ... antiphospholipid syndrome ... Hypocomplementemia #Low ... #diagnosis #differential
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... Diagnosis Framework ... โ€ข Normal or Low ... - Normal or Low
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 โ€ข Primary Hyperparathyroidism
 โ€ข Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... Hypercalcemia Low ... #Diagnosis #Algorithm ... #causes #endocrinology
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 ... hepatitis #comparison #differential ... #diagnosis #icp ... #HELLP #AFLP
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 ... #Algorithm #differential
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isnโ€™t a diagnosis. Like many things, it is a condition
Polycythemia - Differential ... levels: realllly low ... about secondary causes ... youโ€™ll do a good workup ... #workup #hematology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
or fungi (grows slow ... but important causes ... BCNIE Diagnostic ... antiphospholipid syndrome ... #differential #