Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Algorithm Step ... actually be normal or elevated ... considered likely, the cause ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... #differential # ... endocrinology #calcium #elevated ... #evaluation #workup
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 ... reticulocyte count is elevated ... #Workup #AAFP
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Elevated Amylase ... Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 โ€ข Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... during medical evaluation ... or workup for specific ... 1,500 cells/ยตL Workup ... #Differential #
Upper and Lower Causes of GI Bleed
Upper:
 โ€ข Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... sarcoma, Mesenteric ischemia ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Transplant #diagnosis #differential
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Drugs, Viral, Ischemia ... Ducts - CBD ... kwburak #LFTs #Elevated
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 โ€ข Vit B12 - aka cobalamin. Present in foods derived from animal
โ€ข Common Causes ... diarrhea related to IBD ... total body stores Evaluation ... have spuriously elevated ... low levels - Elevated
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isnโ€™t a diagnosis. Like many things, it is a condition
Polycythemia - Differential ... Diagnosis Algorithm ... an underlying cause ... phlebotomy, or chemo ... #workup #hematology