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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Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 β€’ Primary Hyperparathyroidism
 β€’ Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... or normal): β€’ ... Hypercalcemia Low ... #causes #endocrinology
Hypocalcemia - Differential Diagnosis Algorithm
 β€’ Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... Intact PTH Level Elevated ... Inappropriately Normal ... #causes
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
renal function is normal ... Hypomagnesemia #algorithm ... #differential # ... diagnosis #causes ... nephrology #magnesium #low
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Evaluation 1) Clinical clues ... FHH β€” check the urine ... FeCa <1 %) - Low ... Hypercalcemia #workup #differential ... endocrinology #calcium #elevated
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... β€’ Diarrhea A urine ... /Normal Blood Pressure ... #differential #
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... /low blood pressure ... the indicated causes ... #Algorithm #nephrology ... #differential #
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Cardiac: multiple case ... , can be low in ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... volume-based algorithm ... Urine Na+K / serum ... #Hyponatremia #differential