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 management amylase aorticregurgitation cardiology disorders fatigue fe fingernails hepatology hyperamylasemia hypercalcemia hypocalcemia hyponatremia hypotonic iron ketones ketosis lfts
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
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Diagnosis Algorithm ... Intact PTH Level Elevated ... Malabsorption, Vit D deficiency ... Inappropriately Normal ... #causes
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
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... #Fe #algorithm
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
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... restricted diet/deficiency ... /other causes • ... #Algorithm #diagnosis
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
ketoacidosis (DKA) - caused ... complete insulin deficiency ... (pH < 7.35) w/ elevated ... 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
100 mm Hg), and elevated ... Workup for cause ... highest on my differential ... EtOH causes thiamine ... deficiency via
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 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 ... mineralocorticoid deficiency ... #Hyponatremia #differential
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