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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9 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Acid β†’ renal salt wasting ... #nephrology #sodium ... #low #uricacid
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1Β° Renal PO4 wasting ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential # ... nephrology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... PTLD, GVHD or IBD ... Empiric therapy ... Workup #Management #Algorithm ... Transplant #diagnosis #differential
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Diagnosis Algorithm ... Appropriately Low ... based hormonal therapy ... #nephrology #phosphorus
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... consumption β€’ Low ... #differential # ... potassium #nephrology ... #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Cerebral Salt Wasting ... #Hyponatremia #differential ... table #sodium #nephrology
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 β€’ Homogeneous pattern: 
   -
Antinuclear Antibody Testing ... SLE, SjS, CTD-ILD ... body-like: - Neurologic ... ribaviron combination therapy ... Cytoplasmic #Patterns #differential
Antinuclear Antibody Testing Cytoplasmic Patterns
Reticular/AMA: 
 β€’ PBC, SSc, PBC/SSc OS, PBC/SjS OS
 β€’ AMA
Speckled:
 β€’
Antinuclear Antibody Testing ... SLE, SjS, CTD-ILD ... body-like: β€’ Neurologic ... ribaviron combination therapy ... Cytoplasmic #Patterns #differential
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 β€’ Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... urine Na/Cl > 1.6, low ... confirmed via genetic testing ... hypokalemia #diagnosis #differential ... #algorithm #nephrology