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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Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 β€’ Mechanical Trauma (Microangiopathic hemolytic anemia):
(usually IgG) (e.g ... (usually IgM) (e.g ... deficiencies (e.g ... Membrane defects (e.g ... #hematology #anemia
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
- Differential Diagnosis ... by Classification ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis
 β€’ Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
- Differential Diagnosis ... Infected thrombosis, (e.g ... Lemierre's syndrome ... Malignancy: - Hematologic ... Inflammatory Diseases (e.g
Causes of Thrombocytosis - Differential Diagnosis
Secondary Thrombocytosis (a.k.a Reactive Thrombocytosis):
 β€’ Acute infection
 β€’ Solid organ
Causes of Thrombocytosis ... - Differential Diagnosis ... inflammatory disorders (e.g ... Myelodysplastic syndrome ... #Causes #hematology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 β€’ ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... nephrotoxics (e.g ... #diagnosis #HRSAKI ... #HRSNAKI #hepatology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... objective assessmentβ€œ (e.g ... the underlying cause ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... - Differential Diagnosis ... Artificial sweeteners (e.g ... #Differential #Diagnosis ... #inflammatory #classification
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
vs Tumor Lysis Syndrome ... high WBC count cause ... unless worrisome EKG ... #TLS #diagnosis ... #management #hematology
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
circuit and can cause ... CO2 production (e.g ... POST-CANNULATION SYNDROME ... Troubleshooting #problems #diagnosis ... differential #management #criticalcare
Hyperthermic Toxidromes
Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures.
 β€’ Sympathomimetic -
β€’ Serotonin Syndrome ... dopamine blockers (e.g ... dopamine agonists (e.g ... pharmacogenetic disease caused ... #table #diagnosis