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 ... hematuria (RBC casts ... dysmorphic RBCs in ... Comparison #Algorithm #Nephrology ... #Diagnosis
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... In this case, the ... Adie’s tonic pupil ... clinical #video #ophthalmology ... #physicalexam #neurology
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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 ... , the cause is more ... clinical #video #ophthalmology ... #physicalexam #neurology
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Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
β€’ Inflammatory/AI ... Paraprotein-associated (POEMS syndrome ... #differential #diagnosis ... #causes #neurology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
The next step in ... wasting from other causes ... suggests extra-renal causes ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
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 ... clinical #video #ophthalmology ... #neurology
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Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... other potential causes ... Orbital Apex Syndrome ... clinical #video #ophthalmology ... #physicalexam #neurology
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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... glycol (present in ... D-lactate (short bowel syndrome ... Interpretation #Diagnosis ... #Summary #Nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... restriction alone in ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... table #sodium #nephrology