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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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... LFTs #Elevated #Abnormal
Etiologies of Hypoaldosteronism

Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone)
 - Diabetic Nephropathy 
 - NSAIDs
Non-Hyporeninemic Hypoaldosteronism (Normal
insufficiency - Critical ... or High Renin, Normal ... Hypoaldosteronism #Differential ... #Aldosterone #Comparison ... #Table #Causes
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Miliary TB: random ... #Clinical #Diagnosis ... NodularPattern #Differential ... #Comparison #Table
Inherited Qualitative Platelet Defects
Bernard-Soulier Syndrome
 β€’ Defect of adhesion due to a lack of GP Ib/IX/V
to a lack of GP Ib ... receptor] β€’ Normal ... Platelet #Defects #comparison ... #table #differential
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... transabdominal US - Clinical ... Moderate - Abnormal ... than 55 y - Clinical ... Choledocholithiasis #Biliary
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... Vitals stable/afebrile ... hepatic panel, normal ... POCUS #ultrasound #clinical ... #biliary #cholangiocarcinoma
β–Ί
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... secondary lobules with normal ... #Clinical #Radiology ... Carcinomatosis #Mimic #Differential ... #Comparison #Table
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Clinical β€’ Under-recognized ... sx overlap with normal ... during Delivery β€’ Stable ... Avoid ARBs β€’ ICD