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 endocrinology hypocalcemia evaluation injury workup acute adrenal aki coronavirus covid19 deficiency deposition disease elevated fe guide hadd handlebar hydroxyapatite
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Algorithm Elevated ... PTH (High or normal ... Low PTH: • Elevated ... Bony Mets - Calcium ... #causes #endocrinology
Causes of Hypocalcemia - Differential Diagnosis Algorithm • Extravascular: Pancreatitis, surgery, acute phosphate intake and renal
Causes of Hypocalcemia ... - Differential ... Drug induced: Calcium ... Hyperphosphatemia, Low ... #Causes #algorithm
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... Inappropriately Normal ... #Differential # ... #causes
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... FeCa <1 %) - Low ... #workup #differential ... endocrinology #calcium
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
- Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... Zinc, Manganese, Calcium
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Clinical suspicion ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... or normal baseline
Hypocalcemia - Diagnosis and Management PTH Independent (↑ PTH) • LOW VIT D -
Independent (↑ PTH) • LOW ... (phenytoin) • NORMAL ... Syndrome - Calcium ... endocrinology #differential ... #algorithm
Causes of Hypocalcemia by Clinical Cause Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... by Clinical Cause ... circulating calcium ... Neck surgery - Low ... #Causes #Differential
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 Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... ultrasonography, serum calcium ... osmolarity If cause ... investigations abnormal ... investigations depending on clinical
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology Imaging Findings: • Ovoid hypointense structures along the bursal surface
consistent with Calcium ... adjacent to the Calcium ... Case description ... low-signal normal ... #mri #clinical
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