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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Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings β†’ Clinical diagnosis (without biopsy) e.g. LΓΆfgren's syndrome
Suggestive
biopsy) e.g. ... LΓΆfgren's syndrome ... and/or cytology (e.g ... of alternative causes ... #Workup
Myocarditis - Diagnosis and Causes
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes β€’ ... Clinical presentation ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... require urgent nephrology ... Nephrotoxic drugs (e.g ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Common causes of ... - Differential Diagnosis ... vasoconstriction (e.g ... inhibitors, hepatorenal syndrome ... #nephrology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... (Many causes!) ... β€’ Infection (e.g ... Brain lesions (e.g ... #diagnosis #neurology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... (e.g. haloperidol ... #Management #Workup
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-BarrΓ© syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential #diagnosis ... #table #neurology
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
but nonspecific ECG ... WMAs support your case ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS
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Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... and Differential Diagnosis ... osmolarity If cause ... investigations depending on clinical ... #nephrology #causes
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Caused commonly ... by: - drugs (e.g ... neurodegenerative disorders (eg ... #PhysicalExam #clinical ... #neurology #posture
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