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 differential nephrology hematology hypokalemia antifungals associated coccidioides coccidioidomycosis druginduced emergencies endocrinology essential et hemeonc hypercalcemia hyponatremia hypotonic leukostasis lupus
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 • Low ... #diagnosis #Algorithm
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... Dialysis with low ... Calcitonin Refractory Cases ... #Treatment #algorithm ... #management #endocrinology
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
in >90% - Low ... 60-80% - Low ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #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
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... acid, Elevated Cr ... , Low calcium • ... hydration - Hyperkalemia ... TLS #diagnosis #management
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • 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
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
acid, high LDH, low ... high d-dimer, low ... Treat underlying cause ... radiology for possible stenting ... plasmapheresis Hypercalcemia
Overview of antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis. Fluconazole - Low
effects in the treatment ... Fluconazole - Low ... monitoring advised, low ... #valleyfever #management ... #comparison #table
Essential Thrombocythemia (ET) ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... Diagnosis: On the CBC ... • Treatment algorithms ... appropriate only for low ... hematology #diagnosis #management
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