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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Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
and Symptoms by Classification ... obstruction to blood flow ... DrEricStrong #Shock #Differential ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
Medical Radiation Doses ... Background #Radiation #Doses ... #CT #Nuclear #Comparison ... #Table #Risks # ... Testing #Study #
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... type 4) - Salt wasting ... #Diagnosis #Low ... #Potassium #Table ... #Classification
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
/ IBD Renal Loses ... Hypomagnesemia #Differential ... #Diagnosis #Low ... #Magnesium #Table ... #Classification
Radiation Dose to Adults from Common Imaging Examinations
ABDOMINAL REGION
 - Computed Tomography (CT) β€” Abdomen and
Radiation Dose to ... years - Upper GI Study ... #CT #Nuclear #Comparison ... #Table #Risks # ... Testing #Study
How much radiation is used in paediatric radiology examinations compared to other exposures?

Estimated dose - Days
How much radiation ... Estimated dose - ... #CT #Nuclear #Comparison ... #Table #Risks # ... Testing #Study #
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Cerebral Salt Wasting ... #Hyponatremia #differential ... #diagnosis #table
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 β€’ Polysaccharide cell wall component of many fungi
 β€’ Pathogens:
membranes synthetic now ... - +BAL GM does ... not differentiate ... Frozen ice-pops (in setting ... Galactomannan #diagnosis #comparison
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 β€’ Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... urine Na/Cl > 1.6, low ... confirmed via genetic testing ... severe to the dose ... hypokalemia #diagnosis #differential