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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True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... - Urine sodium low ... and uric acid low ... #Hyponatremia #Differential
Low Back Pain - Differential Diagnosis Framework
 β€’ Non-Inflammatory: Musculoligamentous, Bone-Degenerative, Bone-Fractures, Disc-Herniation
 β€’ Inflammatory: Infection,
Low Back Pain - ... Differential Diagnosis ... RezidentMD #Low ... Back #Pain #LBP #Differential
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Normal Acid-Base: Low ... Ureterosigmoidoscopy β€’ HTN, Low ... #Hypokalemia #Differential ... causes #potassium #low
Ocular Filariasis / Loiasis (Loa Loa) - Ocular Worm Extraction

#Ocular #Filariasis #Loiasis #LoaLoa #SlitLamp #clinical #video
Filariasis / Loiasis (Loa ... Loa) - Ocular Worm ... LoaLoa #SlitLamp #clinical ... #video #physicalexam
β–Ί
Nail diseases and disorders.
 - Spoon Nails (Koilonychia)
 - Pitting of Nails
 - Beau's Lines
 -
Fingernail #Disorders #Differential ... Leukonychia #Table #Clinical ... #PhysicalExam
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... Hypercalcemia Low ... PTHrP: - Low ... Hypercalcemia #Differential
Portosystemic collaterals in Cirrhosis

Milking abdominal veins demonstrates centrifugal blood flow in caput medusae.

Dr. Boby Varkey Maramattom
centrifugal blood flow ... caput #medusae #clinical ... #video #physicalexam
β–Ί
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 β€’ Primary Hyperparathyroidism
 β€’ Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... Hypercalcemia Low ... Hypercalcemia #Differential
Canon A waves on Physical Examination

Associated with complete heart block. Notice the relatively slow HR. Echocardiography
the relatively slow ... CanonA #Waves #Clinical ... #video #PhysicalExam
β–Ί
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... β€’ Normal or Low ... - Normal or Low ... Hypophosphatemia #Differential