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 cancer colon colorectal gastroenterology hypokalemia adrenal blood druginduced endocrinology epilepticus falsenegatives falsepositives fecal fobt guaiac hematology hypertension
What is Fecal Occult Blood Testing (FOBT) • Screening for colorectal cancer in average risk population
Fecal Occult Blood Testing ... immunochemical test ... indications other than CRC ... Does not change management ... , extended LOS
Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based tests: • FIT: 79% sensitivity, 94% specificity for CRC
Colorectal Cancer Screening ... Cancer #colon #Screening ... #Tests #comparison ... #table #management ... #Testing
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 • Low
ACA Colorectal Cancer Screening Guidelines When to Screen? When to Stop? Family History Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based
Colorectal Cancer Screening ... Colorectal Cancer Screening ... #comparison #table ... #management #gastroenterology ... #CRC #Testing #
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Diagnosis and Screening ... Testing Common ... (correction of hypokalemia ... #Screening #Workup ... #table
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
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
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
in >90% - Low ... Discontinuation of causal ... 60-80% - Low ... druginduced #lupus #sle #comparison ... #table #rheumatology
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
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
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