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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83 results
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... Guillain-BarrΓ© syndrome ... #differential #diagnosis ... #table #neurology
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 β€’ Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Diagnosis Algorithm ... and Management ... #Algorithm #management ... #neurology #treatment
Hypernatremia Management Algorithm
Acute vs Chronic
Calculate Losses
 β€’ Current water Deficit
 β€’ Ongoing Free water Losses
 β€’
Hypernatremia Management ... Algorithm Acute ... Hypernatremia #Management ... #Algorithm #treatment ... #nephrology
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis
 - Prerenal
 - ATN
 - AIN
 -
Acute Kidney Injury ... - Nephritic Syndrome ... - Strong Medicine ... AKI #Urinalysis #diagnosis ... table #comparison #nephrology
Hepatorenal Syndrome Treatment
Volume expansion: 
 β€’ Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... Treatment Volume ... = 1g/kg on day 1 ... #Treatment #management ... #HRS #nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... Step 1: If the ... nephrotic/nephritic syndromes ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Algorithm - GI ... Redistribution - 1Β° ... HPT - 1Β° Renal ... , TIO, Fanconi Syndrome ... #nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential Diagnosis ... Workup Step #1 ... Eric Strong @DrEricStrong ... Hypernatremia #Management ... #nephrology #insipidus
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... kaliuresis step 1 ... hyperkalemia #kaliuresis #management ... diuretics #diuresis #nephrology ... #algorithm
One-and-a-Half Syndrome
1 - One eye cannot move AT ALL horizontally
1/2 - The other eye can only
One-and-a-Half Syndrome ... 1 - One eye cannot ... ALL horizontally 1/ ... Multiple Sclerosis), Stroke ... #diagnosis #neurology