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 nephrology workup endocrinology management cardiology evaluation hypercalcemia hyponatremia injury low acute aki alkalosis amylase aorticregurgitation calcium cardiomyopathy cellulitis chloride
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... or normal): • ... #Diagnosis #Algorithm ... #causes #endocrinology
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Elevated Amylase ... Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... kwburak #LFTs #Elevated ... #Algorithm #diagnosis
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
) in IBD - IBD Algorithm ... IUS Pros (+) ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
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 ... #causes
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Diagnostic Evaluation Algorithm ... may actually be normal ... or elevated Step ... Step 5: If SIADH is ... considered likely, the cause
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... osmolarity If cause ... investigations abnormal ... pressure • TTP / HUS ... #AKI #Workup #Algorithm
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Evaluation 1) Clinical clues ... - Is the patient ... • If all normal ... Hypercalcemia #workup #differential ... endocrinology #calcium #elevated
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
ketoacidosis (DKA) - caused ... (pH < 7.35) w/ elevated ... normal ... Glucosuria causes ... Disorders #ketones #differential
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular) A 70 y/o man presents with new
patient with a normal ... 100 mm Hg), and elevated ... Workup for cause ... highest on my differential ... patients consume a normal
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