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
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Algorithm Interpreting ... Hypoglycemia Labs ... #Evaluation #Algorithm ... #workup #diagnosis ... #endocrinology
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 β€’ Autoimmune primary adrenal insufficiency
 β€’ Adrenoleukodystrophy,
Differential Diagnosis Workup ... Algorithm Primary ... genetic disorder β€’ CAH ... Differential #Diagnosis #Workup ... #Algorithm #endocrinology
Hypoglycemia Differential Diagnosis and Workup Algorithm
Firstly check if it is true (Whipple's triad).
After that, check labs
Hypoglycemia Differential ... Diagnosis and Workup ... Algorithm Firstly ... Differential #Diagnosis #Workup ... #Algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... hyperpigmentation, hypoglycemia ... Differential #Diagnosis #Algorithm ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... - Unexplained hypoglycemia ... findings (see algorithm ... #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... pseudohyponatremia β€’ hyperglycemia ... hypothyroidism β€’ adrenal insufficiency ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Anemia Diagnostic Algorithm

Mean corpuscular (cell) volume (MCV): Average RBC size. Under 80 = microcytic. Between 80-95
Anemia Diagnostic ... Algorithm Mean ... then BM response insufficient ... Algorithm by Dr. ... #Workup #Hematology
Diffuse Alveolar Hemorrhage (DAH) Diagnosis Algorithm
- Hemoptysis, Alveolar Infiltrates and Anemia

BWH Medicine Residency @BrighamMedRes

#Diffuse #Alveolar #Hemorrhage
Alveolar Hemorrhage (DAH ... ) Diagnosis Algorithm ... Infiltrates and Anemia ... #Diagnosis #Algorithm ... #Workup
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
DPP4 inhibitors work ... minimal chance of hypoglycemia ... patients have renal insufficiency ... Diabetes #DM2 #Endocrinology
Adrenal Insufficiency Treatment - Stress Dose Steroids
 β€’ Large Bore IVs, ~2L IVF & Draw workup
Adrenal Insufficiency ... ~2L IVF & Draw workup ... Treat Adrenal Insufficiency ... abnormalities Sick Day ... StressDose #Steroids #endocrinology