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 treatment cardiology hypocalcemia ibd nephrology bradycardia cardiomyopathy crohns elevated endocrinology fatigue gastroenterology hemodialysis hyponatremia injury myocardial myoclonus neurology perianal
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... risk if colonic CD ... #IBDAlgorithm # ... gastroenterology #management
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... treat underlying cause ... Pulmonary Diseases ... always exclude: CKD
Hypocalcemia - Diagnosis and Management PTH Independent (↑ PTH) • LOW VIT D -
Diagnosis and Management ... , Kidney Disease ... (CKD) - Metabolism ... endocrinology #differential ... #algorithm
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... Hyperparathyroidism: CKD ... , infiltrative disease ... #causes
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Diagnosis and Workup Algorithm ... End Stage Renal Disease ... Structural Heart Disease ... Occlusion • Stable
Causes of Pericarditis - Differential Diagnosis Algorithm Viral: • Coxsackie • Echovirus • Adenovirus • Epstein-Barr virus
Causes of Pericarditis ... - Differential ... Diagnosis Algorithm ... Reactive • Primary CTD ... connective tissue disease
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
Diagnostic and Management ... Algorithm CONSIDER ... lyme + tick bome diseases ... LIFE THREATENING CAUSES ... #Differential
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD Algorithm ... Receptor (sTfR) to differentiate ... fatigue despite disease ... /other causes • ... #diagnosis #management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Valvular heart disease ... Congenital heart disease ... Delivery • Stable
Causes of Myoclonus - Differential Diagnosis LOCALIZATION: • Cortical: Focal/multifocal: Distal UL+ Face, Action/sensitive induced • Sub-Cortical:
Causes of Myoclonus ... - Differential ... encephalopathies, CJD ... Chronic: Storage disease ... NSAID, lithium, propofol
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