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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Raynaud's Phenomenon on Physical Exam

#Raynauds #Syndrome #disease #phenomenon #clinical #video #physicalexam #fingers #hands #rheumatology
#Raynauds #Syndrome ... #disease #phenomenon ... #physicalexam #fingers ... #hands #rheumatology
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Raynaud's Syndrome - Washing off under hot water.
Raynaud phenomenon is an exaggerated vasoconstrictive response of the
Raynaud's Syndrome ... (e.g., in the fingers ... #Raynauds #Syndrome ... #disease #phenomenon ... #hands #rheumatology
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Raynaud's Syndrome - Washing off under hot water wath.

Raynaud phenomenon is an exaggerated vasoconstrictive response of
Raynaud's Syndrome ... (e.g., in the fingers ... #Raynauds #Syndrome ... #disease #phenomenon ... #hands #rheumatology
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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
Diagnostic Schema for Hyperferritinemia

Pearl: Diseases associated with extreme elevations: 
1. HLH 
2. Still's disease 
3. Systemic
Hyperferritinemia Pearl: Diseases ... Still's disease ... Hyperferritinemia #Algorithm #Differential ... #Diagnosis #Hematology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... SAME, Cushing Syndrome ... , Gitelman syndrom ... #Hypokalemia #Differential ... potassium #low #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Antacids, Phosphorus binders ... Tumor genesis syndrome ... Hypophosphatemia #Differential ... Workup #phosphate #nephrology
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
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Syphilis, Lyme disease ... Paraprotein-associated (POEMS syndrome ... Charcot-Marie-Tooth, Fabry's disease ... Peripheral #Neuropathy #differential ... diagnosis #causes #neurology
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 β€’ Common Clinical Features: alveolitis, ear and
Clinical Syndrome ... thromboembolic disease ... vasculitis β€’ Hematologic ... criteria for 1) hematologic ... Autoinflammatory #Somatic #rheumatology