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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17 results
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 β€’ Infections (can become bilateral with cavernous sinus
Proptosis - Differential ... pseudotumor (IgG4 disease ... - Grave's disease ... #Proptosis #Differential ... #Bilateral #Causes
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... , Milk Alkali Syndrome ... , Viral Syndromes ... Hypercalcemia #Differential ... Algorithm #Workup #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... , Gitelman syndrom ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Syphilis, Lyme disease ... Paraprotein-associated (POEMS syndrome ... Peripheral #Neuropathy #differential ... #diagnosis #causes ... #neurology
Causes of Hypocomplementemia - CHAMPS Mnemonic
C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis
H - Heavy Chain deposition
Causes of Hypocomplementemia ... Chain deposition disease ... antiphospholipid syndrome ... Mnemonic #diagnosis #differential ... #hematology
Acute Pharyngitis: Differential Diagnosis
Infectious:
 β€’ Respiratory viruses (25-45%)
 β€’ Group A Strep (5-15%)
 β€’ Other bacteria:
Acute Pharyngitis: Differential ... Acute Retroviral Syndrome ... disorders: Kawasaki disease ... #Pharyngitis #Differential ... #Diagnosis #causes
Etiology of Splenic Infarction:
 β€’ Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 β€’ Embolic disease: Atrial
Antiphospholipid syndrome ... Lymphoma, Gaucher disease ... Wandering spleen syndrome ... Infarction #spleen #differential ... #diagnosis #causes
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
Virilization - Differential ... β€’ Cushing's Syndrome ... Obesity β€’ Liver Disease ... #Virilization #Differential ... endocrinology #causes
Nail Findings & Associated Conditions
Change in color, texture, or shape can be harmless, but may suggest
underlying systemic disease ... β€’ Green Nail Syndrome ... β€’ Yellow Nail Syndrome ... fingernail #pathology #differential ... #diagnosis #dermatology
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Intermittent Bilateral ... The syndrome of ... The cause of this ... Differentials for ... lymphangiomas are the cause
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