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 video physicalexam differential nephrology ophthalmology algorithm gastroenterology pharmacology sign criticalcare decisionaid low meningitis orthopedics primarycare summary table workup
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 ... Comparison #Algorithm #Nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
SAME, Cushing Syndrome ... diuretics, Bartter syndrome ... , Gitelman syndrom ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
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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 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 ... , Gitelman syndrome ... differential #potassium #nephrology
Etiologies of Peripheral Neuropathy • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism • Medication-induced: ART, Antibiotics,
Paraprotein-associated (POEMS syndrome ... differential #diagnosis #causes ... #neurology
Belly Dancer's Syndrome (Belly Dancer's Dyskinesia) #Belly #Dancers #Syndrome #Dyskinesia #clinical #video #neurology #physicalexam
Belly Dancer's Syndrome ... Belly #Dancers #Syndrome ... clinical #video #neurology
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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
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... experience, the cause ... surgery; as in our case ... #physicalexam #neurology
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 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
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