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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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 ... Nephritic #Nephrotic #Syndrome ... Comparison #Algorithm #Nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Aldosterone: Liddle's Syndrome ... SAME, Cushing Syndrome ... diuretics, Bartter syndrome ... , Gitelman syndrom ... potassium #low #nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
disease, Milk Alkali Syndrome ... disease, Viral Syndromes ... Algorithm #Workup #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
alkalosis, Hungry bone syndrome ... Tumor genesis syndrome ... FGF-23: Fanconi syndrome ... Workup #phosphate #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
↓ Aldosterone: Syndrome ... excess, Liddle's syndrome ... Diuretics, Bartter syndrome ... , Gitelman syndrome ... differential #potassium #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Cirrhosis, Nephrotic syndrome ... table #sodium #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
D-lactate (short bowel syndrome ... Diagnosis #Summary #Nephrology
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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Marcus-Gunn Jaw-Winking syndrome from congenital neurosyphilis

Sucking elicits blinking.  Once you see it you won't forget.

Dr.
Marcus-Gunn Jaw-Winking syndrome ... #Jaw #Winking #syndrome ... clinical #video #neurology
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Acute Pharyngitis: Differential Diagnosis
Infectious:
 β€’ Respiratory viruses (25-45%)
 β€’ Group A Strep (5-15%)
 β€’ Other bacteria:
Acute Retroviral Syndrome ... Diffuse viral syndromes ... PFAPA, Behcet syndrome