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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16 results
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
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential Diagnosis ... disease, Viral Syndromes ... #Algorithm #Workup ... #nephrology #PTH
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... , Gitelman syndrom ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... other potential causes ... Syndrome secondary ... Orbital Apex Syndrome ... #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 ... tumors along the apex ... , the cause is more ... #physicalexam #neurology
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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 ... #Differential #Diagnosis ... #Framework #Workup ... #phosphate #nephrology
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
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
When to suspect AIN ... sterile pyuria, WBC casts ... associated with AIN ... #Algorithm #nephrology ... #diagnosis
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... validated only in ... #Diagnosis #PhysicalExam ... #Neurology #AVS