Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
• Malignancy 
• Milk-alkali syndrome 
• Vitamin D toxicity 
•
Hypercalcemia - EKG ... Findings Causes ... Hypercalcemia #EKG ... #Differential #Causes ... #Diagnosis #Cardiology
ECG Changes in Hyperkalemia and Treatment
Membrane Stabilization
 - Calcium gluconate or chloride 
Redistribution
 - Insulin
ECG Changes in Hyperkalemia ... Hyperkalemia #Treatment #Management ... #Diagnosis #ECG ... #EKG
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... are caused by prerenal ... you confirmed diagnosis ... simplified #workup #diagnosis ... #nephrology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... EKG is helpful in ... evaluating for other causes ... Embolism #AcutePE #diagnosis
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
hypertension Management ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Deep coma (any cause ... polyneuropathy (e.g ... #differential #diagnosis ... #table #neurology
Peripheral Neuropathy - Diagnostic Schema and Differential Diagnosis

Hereditary
Common Causes
Rapid Onset
Subacute/Chronic Onset
 - Multifocal
 - Focal
 -
Peripheral Neuropathy - Diagnostic ... and Differential Diagnosis ... Hereditary Common Causes ... Schema #Algorithm #Causes ... #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... Pain/Post-op • Neurologic ... Uosm < 100 mmol/kg ... #Algorithm #Causes
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
(Many causes!) ... * (most common cause ... • Infection (e.g ... Wonderland #Syndrome #diagnosis ... #neurology #differential
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
objective assessment“ (e.g ... there is no clear cause ... the underlying cause ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare