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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Kernig's Sign in Meningitis

Resistance or pain elicited by passive extension of the knees, thought to be
Kernig's Sign in ... Resistance or pain ... thought to be caused ... Meningitis #clinical ... #physicalexam #neurology
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Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... β€’ Normal Acid-Base ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
Acute Coronary Syndrome ... Patient With Chest Pain ... Syndrome? ... : The Rational Clinical ... AcuteCoronarySyndrome #Symptoms #Signs
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... sterile pyuria, WBC casts ... MatthewHoMD #Acute ... #Algorithm #nephrology ... #diagnosis
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... paraproteinemia, acute ... Insulin/Glucose, Acute ... Denosumab, Estrogen based ... Workup #phosphate #nephrology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Paraprotein-associated (POEMS syndrome ... Fabry's disease, Acute ... #differential #diagnosis ... #causes #neurology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Acute or chronic ... D-lactate (short bowel syndrome ... Hyperventilation (Anxiety, pain ... #Summary #Nephrology
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
syndrome resulting ... drowsiness, weight gain ... reflex hammer, caused ... #video #neurology ... #endocrinology
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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 ... surgery; as in our case ... #clinical #video ... #physicalexam #neurology
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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 ... table #sodium #nephrology