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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10 results
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... - Evaluation of ... unclear (often the case ... Insufficiency #Diagnosis #Algorithm ... Stimulation #Test #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 β€’ Pituitary Dysfunction
 β€’ Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal ... Differential Diagnosis Algorithm ... Thrombophilia (adrenal ... Differential #Diagnosis #Algorithm ... #Causes #endocrinology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... causes β€’ Laxative ... syndrome, Congenital adrenal ... Hypokalemia #diagnosis #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... Differential #Diagnosis #Algorithm ... #endocrinology
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... evaluation of macrocytic ... the most likely cause ... recovery also causes ... #Homocysteine #Algorithm
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 β€’ Primary Hyperparathyroidism
 β€’ Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis Algorithm ... Tumors: Lung, SCC, renal ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
β€’ Discuss with endocrinology ... β€” discuss with endocrinology ... SIADH β€” look for cause ... hourly β€’ Identify Cause ... Hyponatremia #Management #algorithm
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
, bradycardia. renal ... it should not cause ... dissociative drug, it causes ... amnesia and analgesia ... Delirium #PAD #ICU #CriticalCare
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure β†’ Dialysis with low Ca++ bath
Aggressive IV hydration
Treatment algorithm ... Hypercalcemia - Renal ... Calcitonin Refractory Cases ... hypercalcemia #Treatment #algorithm ... #management #endocrinology
Approach to using the perfusion scan in Brain Death Evaluation

Like any diagnostic test, a flow scan
in Brain Death Evaluation ... death, so in this case ... #Diagnosis #CriticalCare ... Perfusion #Scan #Algorithm