Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis nephrology blood hematology hypokalemia potassium product reactions adrenal binding endocrinology hyponatremia hypotonic insufficiency low medications pharmacology physiologic sodium transfusion
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
calcium for K; also binds ... nonspecifically binds ... patients sensitive to high ... #pharmacology #table ... #comparison #binders
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... , hypoglycemia Testing ... insufficiency likely: • High
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... from other causes ... urinary losses: • High ... #diagnosis #Algorithm ... #differential #
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... diuresis can be high ... : Hypovolemia, Hypervolemia ... #Hyponatremia #differential ... #diagnosis #table
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... urine Na/Cl < 0.7, high ... confirmed via genetic testing ... continued in most cases ... #diagnosis #differential
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Crossmatch - involves testing ... High mortality. ... Hypocalcemia, Hyperkalemia ... Citrate in RBCs binds ... Transfusions #diagnosis #management
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
High mortality. ... Hypocalcemia, Hyperkalemia ... Citrate in RBCs binds ... false negatives on testing ... Transfusion #diagnosis #management
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