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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85 results
Another Takotsubo.

68F actually presented after some very joyous news in contrast to the usual 'broken heart
'broken heart syndrome ... #Clinical #POCUS ... Echocardiogram #A4c ... #BrokenHeart #Syndrome
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Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
In up to 1/4 of cases ... #BrokenHeart #Syndrome ... Echocardiogram #A4C ... #Clinical #POCUS
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Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Cardiomyopathy on POCUS ... POCUS RUSH exam ... #BrokenHeart #Syndrome ... #Clinical #POCUS ... Echocardiogram #A4c
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Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... SAME, Cushing Syndrome ... , Gitelman syndrom ... Differential #Diagnosis #Algorithm ... #causes #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... Defining the cause ... differential #diagnosis #algorithm ... #causes #nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... Nephritic #Nephrotic #Syndrome ... #Comparison #Algorithm
A 70 year old was presented to the urgent care center with severe retrosternal chest pain
and a cardiac POCUS ... showed a classic syndrome ... 3/ #Clinical #POCUS ... Echocardiogram #A4c ... #BrokenHeart #Syndrome
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TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
4 vestibular syndromes ... acute vestibular syndrome ... (eg central cause ... ) #Titrate #algorithm ... #vestibular #syndrome
Dizziness - Central and Peripheral Causes - Differential Diagnosis
Central Causes:
 β€’ Cerebrovascular:  vertebrobasilar, TIA, Wallenburg,
and Peripheral Causes ... oticus (Ramsay Hunt syndrome ... canal dehiscence syndrome ... β€’ Cogan's syndrome ... Differential #Diagnosis #algorithm
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Differential Diagnosis Algorithm ... BP = Bartter's Syndrome ... , Gitelman's Syndrome ... Metabolic #Alkalosis #Causes