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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Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... Patterns on Brain Imaging ... #Differential #diagnosis ... patterns #MRI #Neurology ... pathology #diseases #radiology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Normal Acid-Base: Low ... #Differential #Diagnosis ... causes #potassium #low ... #nephrology
Progression of Imaging Findings in Acute Stroke - Timeline
Onset β†’ Hours β†’ Days β†’ Weeks β†’
Progression of Imaging ... CBarreraMD #CVA #Imaging ... Stroke #Timeline #diagnosis ... #Progression #radiology ... #neurology
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
- Differential Diagnosis ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... Algorithm #Workup #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... β€’ Normal or Low ... - Normal or Low ... #Differential #Diagnosis ... Workup #phosphate #nephrology
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 ... video highlights how ... clinical #video #ophthalmology ... #physicalexam #neurology
β–Ί
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
consumption β€’ Low ... , Gitelman syndrome ... #Hypokalemia #diagnosis ... differential #potassium #nephrology ... #low
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
dL β€’ Hepatic imaging ... necrosis HELLP Syndrome ... Liver enzymes, and Low ... necrosis β€’ Hepatic imaging ... #differential #diagnosis
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... β€’ Ophthalmologic ... Ocular clonus (slow ... ucsdim #Serotonin #Syndrome ... spectrum #signs #diagnosis
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
can be high or low ... Cirrhosis, Nephrotic syndrome ... Primary polydipsia), Low ... #differential #diagnosis ... table #sodium #nephrology