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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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 ... Nephritic #Nephrotic #Syndrome ... Algorithm #Nephrology #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... SAME, Cushing Syndrome ... , Gitelman syndrom ... #Differential #Diagnosis ... #Algorithm #causes
Acute Pharyngitis: Differential Diagnosis
Infectious:
 β€’ Respiratory viruses (25-45%)
 β€’ Group A Strep (5-15%)
 β€’ Other bacteria:
: Differential Diagnosis ... Acute Retroviral Syndrome ... Diffuse viral syndromes ... #Differential #Diagnosis ... #causes
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Rotator Cuff Syndrome ... Causes: Calcific ... Rotator #Cuff #Syndrome ... #orthopedics #diagnosis
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms causes ... superior vena cava syndrome ... neck #mass #SVC #Syndrome
β–Ί
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
- Differential Diagnosis ... Polycystic Ovarian Syndrome ... β€’ Cushing's Syndrome ... #Differential #Diagnosis ... endocrinology #causes
Etiology of Splenic Infarction:
 β€’ Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 β€’ Embolic disease: Atrial
Antiphospholipid syndrome ... Wandering spleen syndrome ... #differential #diagnosis ... #causes
Causes of Hyperpyrexia (Temp > 106.7Β° F) - Differential Diagnosis
 β€’ Heat Stroke
 β€’ Drug-induced: Amphetamines,
Causes of Hyperpyrexia ... - Differential Diagnosis ... β€’ Serotonin syndrome ... #Differential #Diagnosis ... #Causes #high #
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 ... ↓ Aldosterone: Syndrome ... , Gitelman syndrome ... #Hypokalemia #diagnosis
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Weiss, Boerhaave syndrome ... #differential #diagnosis ... #Causes #algorithm