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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Algorithm for the diagnostic workup of hyperthyroidism. (T3 = triiodothyronine; T4 = thyroxine; TSH = thyroid-stimulating
Algorithm for the ... diagnostic workup ... hyperthyroidism #algorithm ... #diagnosis #workup ... #aafp #endocrinology
β–Ί
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 β€’ Autoimmune primary adrenal insufficiency
 β€’ Adrenoleukodystrophy,
Adrenal Insufficiency ... Differential Diagnosis Workup ... Algorithm Primary ... Differential #Diagnosis #Workup ... #Algorithm #endocrinology
Algorithm for the Treatment of Severe Hypoglycemia

Step #1:  IV dextrose bolus

Step #2:  food (if
Algorithm for the ... Treatment of Severe ... infusion Step #4a: steroid ... #Treatment #Severe ... Hypoglycemia #Management #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... stimulation test: Steroids ... Insufficiency #Diagnosis #Algorithm ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Treatment - Stress Dose Steroids
 β€’ Large Bore IVs, ~2L IVF & Draw workup
Treatment - Stress ... Dose Steroids ... ~2L IVF & Draw workup ... Insufficiency #AI #Treatment ... #endocrinology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
, Anaphylaxis, Adrenal ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Survey 4) Workup ... Inotropes - Adrenal ... Management #Summary #criticalcare ... #treatment #workup
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
β€’ Discuss with endocrinology ... β€” discuss with endocrinology ... give specific treatment ... Hyponatremia #Management #algorithm ... #treatment #sodium
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure β†’ Dialysis with low Ca++ bath
Aggressive IV hydration
Treatment algorithm ... Hypercalcemia - Renal ... hypercalcemia #Treatment ... #algorithm #management ... #endocrinology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
full infectious work-up ... days β†’ add fungal work-up ... incontinence - High-dose steroids ... diuretics, denosumab, steroids ... , hypotension, renal