Dr. Gerald Diaz @GeraldMD
23.6M 13.8K 7.2K
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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12 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... Low intake β€’ Metabolic ... #Algorithm #causes ... potassium #low #nephrology
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Metabolic and Respiratory ... and Alkalosis - Diagnostic ... Algorithm Anion ... #Metabolic #Algorithm ... Recommended Text: Nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Respiratory or Metabolic ... - Differential Diagnosis ... D-lactate (short bowel syndrome ... Interpretation #Diagnosis ... #Summary #Nephrology
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 ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... #Hypokalemia #diagnosis ... #potassium #nephrology
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
) Evaluate for Respiratory ... Gas) (-) Likely Metabolic ... Barter, or Gitelman Syndrome ... #alkalosis #algorithm ... #diagnosis
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Neuropathy β€’ Metabolic ... Paraprotein-associated (POEMS syndrome ... #differential #diagnosis ... #causes #neurology
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Physical Exam The case ... patient with a diagnosis ... observe how the respiratory ... #PhysicalExam # ... video #breathing #respiratory
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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 ... experience, the cause ... ophthalmology #physicalexam ... #neurology #Anisocoria
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... #PhysicalExam # ... ophthalmology #neurology
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