Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis clinical differential video physicalexam management table neurology algorithm comparison medications ophthalmology gastroenterology nephrology pain sign cardiology conversion endocrinology mnemonic
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
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Aldosterone: Liddle's Syndrome ... SAME, Cushing Syndrome ... diuretics, Bartter syndrome ... , Gitelman syndrom ... Diagnosis #Algorithm #causes
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
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 Acute Pharyngitis: Differential Diagnosis Infectious: • Respiratory viruses (25-45%) • Group A Strep (5-15%) • Other bacteria:
Acute Retroviral Syndrome ... Diffuse viral syndromes ... PFAPA, Behcet syndrome ... 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
Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
Polycystic Ovarian Syndrome ... • Cushing's Syndrome ... Insulin Resistance Syndrome ... Paraneoplastic Syndrome ... endocrinology #causes
Beta Lactam Antibiotic Classification UPDATE 10/2018: meropenem-vaborbactam added Penicillins, Cephalosporins, Monobactam, Carbapenems - Dr. David Serota @serotavirus #BetaLactams
Classification #Pharmacology ... #Classes
Etiology of Splenic Infarction: • Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy • Embolic disease: Atrial
Antiphospholipid syndrome ... Wandering spleen syndrome ... differential #diagnosis #causes
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 ... excess, Liddle's syndrome ... , Gitelman syndrome
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
and Inotropes - Pharmacology ... • Higher doses cause ... cAMP/cGMP • Causes ... Vasopressors #Inotropes #Pharmacology
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