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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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Evaluation Guide ... dyspnea 20-50% β€’ URI ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... consumption β€’ Low ... /Normal Blood Pressure ... #differential #
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 β€’ Low TSH, Low normal T4
Function Tests in the Evaluation ... TSH, Low normal ... β€’ Low TSH, normal ... Hyperthyroidism β†’ MRI ... Hyperthyroidism #algorithm
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology
Imaging Findings:
 β€’ Ovoid hypointense structures along the bursal surface
Case description ... gradient-echo imaging with abnormal ... - Limits evaluation ... low-signal normal ... #mri #clinical
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... FeCa <1 %) - Low ... Hypercalcemia #workup #differential ... calcium #elevated #evaluation
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Clinical suspicion ... Weakness, fatigue, nausea ... or normal baseline
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... according to Blue Protocol ... Progressive URI ... Differential Bilat ... #Lung #POCUS #clinical
β–Ί
Mucoid Degeneration of the ACL
Imaging Findings:
 β€’ T2-hyperintense fluid-signal within the enlarged ACL on both the
enlarged with low-signal ... will often be NORMAL ... Differential Diagnosis ... - Can cause ... #mri #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... ancestry, LGE on MRI ... sx overlap with normal ... Avoid ARBs β€’ ICD
Approach to using the perfusion scan in Brain Death Evaluation

Like any diagnostic test, a flow scan
in Brain Death Evaluation ... in the correct clinical ... death, so in this case ... A normal scan should ... Perfusion #Scan #Algorithm