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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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... water #Shock #Classification ... #Types #diagnosis ... warm #wet #dry #table
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Differential Diagnosis ... and 2, but not type ... 4) - Salt wasting ... Low #Potassium #Table ... #Classification
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... polyneuropathy (e.g ... Hyperreflexia #Testing ... #differential #diagnosis ... #table #neurology
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection - Diagnosis ... sudden onset, "tearing ... CTA Dissection protocol ... • Classification ... Aortic #Dissection #Diagnosis
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
negative IE - Could ... Eg: C. burnetii ... - Could this ... BloodCultures #Diagnosis ... #Management #Algorithm
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Differential Diagnosis ... . pneumonia, COPD ... Cerebral salt wasting ... #Differential #Diagnosis ... #Table #Causes
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... pts with severe COPD ... : EKG ($), ECHO ... Cardiac #Stress #Testing