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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Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... , hypoglycemia Testing ... ACTH) stimulation test ... insufficiency β€’ Low
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... from other causes ... losses: β€’ High Blood ... consumption β€’ Low ... /Normal Blood Pressure
What is Fecal Occult Blood Testing (FOBT)
 β€’ Screening for colorectal cancer in average risk population
is Fecal Occult Blood ... Screening for colorectal ... immunochemical test ... Does not change management ... , extended LOS
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 β€’ FIT: 79% sensitivity, 94% specificity for CRC
Characteristics for Colorectal ... Stool/blood-based ... #comparison #table ... #management #gastroenterology ... #CRC #Testing
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
ACA Colorectal Cancer ... Stool/blood-based ... #comparison #table ... #management #gastroenterology ... #CRC #Testing #
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Cardiac Output, Blood ... Resistance, Main Uses ... - Dopamine, low ... Pharmacology #Effect #Management ... #Comparison #Inotropes
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
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
indirect Coombs test ... Crossmatch - involves testing ... Hypocalcemia, Hyperkalemia ... Hypothermia: Due to low ... 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 ... Hypothermia: Due to low ... false negatives on testing ... Transfusion #diagnosis #management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Fluid Tolerance Testing ... Averages blood flow ... cardiac output causes ... #criticalcare #comparison ... #challenges #management