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 endocrinology causes hepatology hypocalcemia workup adrenal aflp calcium disease evaluation hellp hepatitis hypogonadism icp insufficiency lfts liver liverfunctiontests management
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... Algorithm Elevated ... PTH (High or normal ... Low PTH: • Elevated ... #Differential #
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
- Differential ... Diagnosis Algorithm ... Low PTH: • High ... PTHrP: - Low ... #Differential #
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... Intact PTH Level Elevated ... Inappropriately Normal ... #Differential #
Hypogonadism Differential Diagnosis Algorithm • Low testosterone, Normal or low LH, Normal or low FSH -
Hypogonadism Differential ... Diagnosis Algorithm ... , Normal or low ... LH, Normal or low ... #Diagnosis #Algorithm
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... FeCa <1 %) - Low ... BrighamChiefs #Hypercalcemia ... #workup #differential ... endocrinology #calcium #elevated
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... kwburak #LFTs #Elevated
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... hyponatremia, hyperkalemia ... insufficiency • Low ... or normal baseline
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
ESR, Normal CK, ... Body Myositis • Slow ... muscle weakness • Normal ... Myopathies #myopathy #differential ... #diagnosis #comparison
Hypocalcemia - Diagnosis and Management PTH Independent (↑ PTH) • LOW VIT D -
Hypocalcemia - Diagnosis ... Independent (↑ PTH) • LOW ... (phenytoin) • NORMAL ... endocrinology #differential ... #algorithm
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
Mild jaundice, Elevated ... Syndrome (Hemolysis, Elevated ... Liver enzymes, and Low ... obstetrics #hepatitis #comparison ... #differential #
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