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 nephrology causes endocrinology potassium workup hypokalemia alkalosis chloride evaluation hypocalcemia metabolic table adrenal calcium classification coronavirus covid19 elevated glomerulonephritis
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... Algorithm Elevated ... PTH (High or normal ... Low PTH: • Elevated ... #Differential #
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
- Differential ... Diagnosis Algorithm ... Low PTH: • High ... PTHrP: - Low ... #Differential #
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... hyponatremia, hyperkalemia ... baseline ACTH - Primary ... or normal baseline
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... FeCa <1 %) - Low ... normal? ... BrighamChiefs #Hypercalcemia ... #workup #differential
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... Inappropriately Normal ... #Differential # ... Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses: • Normal ... secreting tumor, Primary ... #Diagnosis #Algorithm
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... Chronic diarrhea / IBD ... abnormalities - Hypercalcemia ... Hypomagnesemia #Differential ... #Diagnosis #Low
Hypocalcemia - Diagnosis and Management PTH Independent (↑ PTH) • LOW VIT D -
Hypocalcemia - Diagnosis ... Independent (↑ PTH) • LOW ... (phenytoin) • NORMAL ... endocrinology #differential ... #algorithm
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... Nephropathy Renin Normal ... Renin High: • Primary ... nephrology #potassium #differential
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... R - Primary aldosteronism ... #Hypokalemia #Differential ... #Diagnosis #Algorithm
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