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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How much sodium is in 1 Liter of Normal Saline? In Bags if Potato Chips
How much sodium ... in 1 Liter of Normal ... Chips 1 L of normal ... nephrology #sodium #comparison ... #hotdogs #conversion
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses: • Normal ... Acid-Base: Low ... Differential #Diagnosis #Algorithm ... #causes #potassium
Intern Pocket Cards - Pharmacologic Pain Management Options
Anti-inflammatory:
 • Acetaminophen (24 hours: < 3-4g in healthy
cirrhosis) • Oral ... Equianalgesia Conversion ... Table: • Morphine ... #Table #Ladder ... internship #guide #comparison
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis Algorithm ... Elevated PTH (High or normal ... Hypercalcemia Low ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Differential Diagnosis Algorithm ... Syndrome Tumor Low ... Idiopathic Hirsutism - Normal ... Differential #Diagnosis #Algorithm ... endocrinology #causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... consumption • Low ... /Normal Blood Pressure
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... - Dopamine, low ... Vasopressors #Properties #Table ... Effect #Management #Comparison
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... volume-based algorithm ... can be high or low ... differential #diagnosis #table
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Saline (NS) - Comparison ... shift • Saline Causes ... decreased renal blood flow ... • Saline May Cause ... #Saline #NS #comparison
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... an underlying cause ... levels: realllly low ... exogenous, EPO levels: normal ... about secondary causes