Dr. Gerald Diaz @GeraldMD
48.6M 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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Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Diagnosis #Table
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare # ... diagnosis #management
Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... mchlwng #Syncope #Syndromes ... #ECG #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... #Diagnosis #Management ... #CriticalCare
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
- CBC with differential ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #Workup #MICU #CriticalCare ... #Diagnosis
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-BarrΓ© syndrome ... Testing #Causes #differential ... #diagnosis #table ... #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... Diagnosis Algorithm ... β€’ Drugs β€’ Pulmonary ... Uosm < 100 mmol/kg ... #Differential #
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Diagnosis HEMODYNAMIC ... vasoconstriction (e.g ... inhibitors, hepatorenal syndrome ... AIN) β€’ Drugs (e.g ... #Diagnosis #nephrology
Algorithm showing a stepwise approach to the assessment and investigation of a possible neuropathy. CIDP, chronic
Charcot-Marie-Tooth; EMG ... Guillain-BarrΓ© syndrome ... #Diagnosis #Neurology ... Algorithm #Evaluation #Differential
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... β€’ Infection (e.g ... Brain lesions (e.g ... #diagnosis #neurology ... #differential