Dr. Gerald Diaz @GeraldMD
48.7M 14.2K 7.5K
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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7 results
Causes of Neuromuscular Weakness
 β€’ Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Guillain-Barre syndrome ... Lambert Eaton Syndrome ... Shellfish poisoning, Meds ... #differential #diagnosis ... #neurology
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
Kidney Injury - Classification ... a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... causes: sepsis, meds ... #diagnosis #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... cirrhosis, nephrotic syndrome ... , CNS Disease, Meds ... #Algorithm #diagnosis ... #nephrology #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... - burns - fevers ... β€’ nephrotic syndrome ... #Workup #Algorithm ... #Nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... D-lactate (short bowel syndrome ... Anxiety, pain, fever ... narcotics, CVA) - Neuromuscular ... #Summary #Nephrology
EEG/Bispectral Index (BIS) Monitoring - Neuromuscular Blockade

 β€’ Use EEG/BIS monitor to ensure sedation depth is
) Monitoring - Neuromuscular ... Bispectral index is an algorithmic ... Blockade #NMB #neurology ... #criticalcare # ... diagnosis
Train of Four (TOF) Monitoring - Neuromuscular Blockade

Used to titrate NMB to the minimum effective dose.
) Monitoring - Neuromuscular ... NMB infusion if fewer ... Blockade #NMB #neurology ... #criticalcare # ... diagnosis