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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The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
etiology of coma Abnormal ... flexion withdrawal, abnormal ... decortication), abnormal ... Casey Albin MD @ ... #PhysicalExam #neurology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses: β€’ Normal ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 β€’ High Al, Low R - Primary aldosteronism
 β€’ High Al, High
Differential Diagnosis Algorithm ... Hyperplasia β€’ Normal ... Al, Normal R - ... Differential #Diagnosis #Algorithm ... #nephrology #causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... filling of bucket (low ... Differential #Diagnosis #Algorithm ... #nephrology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... the hand. 3) Now ... Hoffmanns #Sign #Reflex ... #Positive #Abnormal ... clinical #video #neurology
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Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
Orbicularis Reflex ... time, and can cause ... delusions and, in some cases ... examination is usually normal ... clinical #video #neurology
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Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... β†’ Refer to Nephrology ... cystoscopy β€’ Refer ... to Nephrology if ... cause not identified
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
/low Proteinuria ... Red blood cell casts ... Serum albumin - Low ... edgarvlermamd - Nephrology ... Comparison #Table #Nephrology
Hyponatremia Diagnosis Algorithm
UOsm β‰₯ POsm - Vasopressin-Dependent
 β€’ UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Primary polydipsia, Low ... #differential #algorithm ... #causes #nephrology
Low Anion Gap - Various causes and mechanisms of a Low Anion Gap
 β€’ Hypoalbuminemia (1gm
Low Anion Gap - ... Various causes and ... anion gap) β€’ Normal ... #AnionGap #causes ... differential #diagnosis #nephrology