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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IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 β€’ IBS
 β€’ Fibrostenotic
IBD - Assessment ... Response (sLOR) - Differential ... burden - Low ... LossOfResponse #Differential ... #Diagnosis #Causes
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... Algorithm Instead ... sodium low, uric ... and uric acid low ... #Algorithm #Diagnosis
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... - Differential ... Diagnosis Algorithm ... Hypomagnesemia #Magnesium #Low ... #Causes #Differential
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... Cortisol, Free Urine ... Cortisol, Saliva β€’ Low ... suppression test (DST) protocol ... Serum (or Cortisol Urine
Urine Color - Differential Diagnosis
Red Urine:
 β€’ Medical conditions: bleeding, porphyria, factitious disorder
 β€’ Meds: rifampin,
Urine Color - Differential ... : β€’ Any cause of ... methylene blue, propofol ... dyes typically cause ... #Color #Differential
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... Hypomagnesemia #algorithm ... #differential # ... diagnosis #causes ... nephrology #magnesium #low
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 β€’ Primary
Polyuria - Differential ... Diagnosis Algorithm ... #Polyuria #Differential ... #Diagnosis #Algorithm ... #causes #nephrology
What the Color of Urine Can Tell You - Differential Diagnosis by Urine Color
Clear: excess water
Pale
What the Color of Urine ... Can Tell You - Differential ... medication, food dye (Propofol ... #color #differential ... #diagnosis #causes
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... Urine chloride ... #Differential #