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 management amylase aorticregurgitation b12 cardiology ck cobalamin creatine disorders endocrinology fatigue fe fingernails hyperamylasemia hypocalcemia iron ketones ketosis kinase
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
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... Intact PTH Level Elevated ... Malabsorption, Vit D deficiency ... #causes
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
Creatine Kinase - Causes of Elevated CK Levels Acute CK Elevation (Pain > Weakness): • RHABDOMYOLYSIS
Creatine Kinase - Causes ... of Elevated CK ... - Medications: statins ... - Vit D/E deficiency ... #CK #differential
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
several disease states ... ketoacidosis (DKA) - caused ... (pH < 7.35) w/ elevated ... Glucosuria causes ... Disorders #ketones #differential
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... • Common Causes ... diarrhea related to IBD ... malabsorptive state ... have spuriously elevated
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 ... = high-output state ... point thiamine deficiency ... highest on my differential ... deficiency via
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