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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13 results
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 β€’ Primary Hyperparathyroidism
 β€’ Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... or normal): β€’ ... #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
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 β€’ Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... Urine Color - Differential ... Amitriptyline, Propofol ... Syndrome - UTI caused ... Garcia @Alexgr23 #Abnormal
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
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 ... #AKI #Workup #Algorithm ... Diagnosis #nephrology #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 ... Check Uosm and/or Urine ... considered likely, the cause
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... renal function is normal ... Hypomagnesemia #algorithm ... #differential # ... diagnosis #causes
Hypocalcemia - Differential Diagnosis Algorithm
 β€’ Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... Intact PTH Level Elevated ... Inappropriately Normal ... #causes
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Evaluation 1) Clinical clues ... FHH β€” check the urine ... β€’ If all normal ... Hypercalcemia #workup #differential ... endocrinology #calcium #elevated
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... In a normal gap ... the indicated causes ... #Algorithm #nephrology ... #differential #