Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
calcium for K; also binds ... nonspecifically binds ... K, magnesium, and ... #pharmacology #table ... #comparison #binders
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... as arrhythmias and ... from other causes ... suggests extra-renal causes ... #diagnosis #Algorithm
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Screening Testing ... (correction of hypokalemia ... and withdrawal ... #Screening #Workup ... #table
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 β€’ FIT: 79% sensitivity, 94% specificity for CRC
Colorectal Cancer Screening ... Gastroenterology and ... #Tests #comparison ... #table #management ... #Testing
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
Colorectal Cancer Screening ... Colorectal Cancer Screening ... Indications #Tests #comparison ... #table #management ... #Testing #Indications
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
abdominal pain, nausea ... achieve efficacy may hinder ... the outpatient setting ... #UseDisorder #Management ... #Therapies #Screening
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... acid, Elevated Cr ... hydration - Hyperkalemia ... Non calcium phos binders ... TLS #diagnosis #management
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
Discontinuation of causal ... Usual therapeutic management ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #management
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Crossmatch - involves testing ... Hypocalcemia, Hyperkalemia ... Citrate in RBCs binds ... false negatives on testing ... Transfusions #diagnosis #management
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 β€’ Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... K/creatinine (Cr ... confirmed via genetic testing ... continued in most cases ... #differential #algorithm