Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... paraproteinemia, acute ... Insulin/Glucose, Acute ... #phosphate #nephrology
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
Acute Coronary Syndrome ... - Diagnostic Likelihood ... Patient With Chest Pain ... Syndrome? ... : The Rational Clinical
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 โ€ข AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... sterile pyuria, WBC casts ... MatthewHoMD #Acute ... #Algorithm #nephrology ... #diagnosis
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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Etiologies of Peripheral Neuropathy
 โ€ข Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 โ€ข 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.
Acute or chronic ... Compensation, Acute ... D-lactate (short bowel syndrome ... Hyperventilation (Anxiety, pain ... #Summary #Nephrology
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 ... experience, the cause ... #clinical #video ... #physicalexam #neurology
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
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Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 โ€ข Lymphocytes accumulate in large numbers
Orange or Hep C Clinical ... phenomenon CLL Diagnosis ... โ€ข Richterโ€™s Syndrome ... โ€™s lymphoma or acute ... #workup #oncology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
antimicrobials, clinical ... but important causes ... BCNIE Diagnostic ... antiphospholipid syndrome ... #differential #workup