Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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Hypocalcemia Workup - Differential Diagnosis Algorithm
 β€’ Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 β€’ High
Hypocalcemia Workup ... - Differential ... Diagnosis Algorithm ... #Differential # ... #nephrology #calcium
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... Malabsorption, Chronic diarrhea ... or Low FGF-23: ... #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Diagnosis Algorithm ... Appropriately Low ... Absorption: Chronic Diarrhea ... #nephrology #phosphorus ... #workup
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential ... Diagnosis Algorithm ... Hypercalcemia Low ... #Workup #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses: β€’ Normal ... Gl tract loss (Diarrhea ... #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... - RTA - Diarrhea ... pH Normal 1 ... #Causes #Workup ... #Nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Gastrointestinal loss: Diarrhea ... Liddle syndrome Low-normal ... β€’ Distal RTA Low-normal ... urine #potassium #differential ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use β€’ Diarrhea ... #differential # ... potassium #nephrology ... #low
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
20% β€’ GI: N/V, diarrhea ... , can be low in ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... Congenital chloride diarrhea ... /low blood pressure ... Chloride #urine #Algorithm ... #nephrology #differential