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 ... β€’ Low or normal
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... from other causes ... suggests extra-renal causes ... consumption β€’ Low ... #diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... primary AI - Low
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Diagnosis and Management ... Hyperkalemia is ... Hyperpigmentation is absent (low ... A STIM test can ... ACTH STIM TEST:
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 β€’ FIT: 79% sensitivity, 94% specificity for CRC
Cancer Screening Tests ... Stool/blood-based tests ... #comparison #table ... #management #gastroenterology ... #CRC #Testing
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 ... Hypothyroidism, Adrenal Insufficiency ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
Cancer Screening Tests ... Stool/blood-based tests ... #comparison #table ... #management #gastroenterology ... #CRC #Testing #
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
in >90% - Low ... 60-80% - Low ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #management
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 β€’ Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... urine Na/Cl > 1.6, low ... K/creatinine (Cr ... confirmed via genetic testing ... continued in most cases
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