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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Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
calcium for K; also binds ... nonspecifically binds ... ); nausea, vomiting ... #pharmacology #table ... #comparison #binders
Potassium Binders for Management of Hyperkalemia
 β€’ SPS - Sodium polystyrene sulfonate
 β€’ Patiromer (veltassa)
 β€’
Potassium Binders ... for Management ... #Management #Hyperkalemia ... #pharmacology #table ... #comparison #nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Hypokalemia ... dysfunction - Alcohol ... Familial renal Mg wasting ... Low #Magnesium #Table ... Classification #Causes
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Causes of Secondary ... and Screening Testing ... (correction of hypokalemia ... Polysomnography β€’ Drug or alcohol ... Screening #Workup #table
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
for Treatment of Alcohol ... abdominal pain, nausea ... achieve efficacy may hinder ... the outpatient setting ... #UseDisorder #Management
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Cerebral Salt Wasting ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
Toxic Alcohol Ingestion: Clinical Features, Diagnosis, and Management
Methanol intoxication:
 β€’ Accidental or intentional ingestion of adulterated
Toxic Alcohol Ingestion ... Diagnosis, and Management ... methanol; rare cases ... diagnosis #toxicology #comparison ... #table #management
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Crossmatch - involves testing ... Hypocalcemia, Hyperkalemia ... Citrate in RBCs binds ... false negatives on testing ... Transfusions #diagnosis #management
Blood Transfusion Reactions

Immune Mediated:
 β€’ Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Causes purpura & ... Hypocalcemia, Hyperkalemia ... Citrate in RBCs binds ... false negatives on testing ... Transfusion #diagnosis #management