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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differential causes evaluation management nephrology admissions admitting anaphylaxis anesthesia anesthesiology cd4 criticalcare ftt hematology hivaids hypercoagulable icu infections intraoperative oncology
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... depletion - Heart failure ... hemorrhage) - Pulmonary ... #Table #Causes
Failure to Thrive - Evaluation Checklist • History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Failure to Thrive ... , 25-OH Vit D, ECG ... , CXR, ESR, CRP, ... PT, OT, Social work ... #diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... • Drugs • Pulmonary ... Congestive heart failure ... Uosm < 100 mmol/kg
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
• Provoked (e.g ... - No other workup ... CBC, aPTT, +/- CXR ... #hematology #diagnosis ... #algorithm #hematology
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
list here, ie hyponatremia ... pre-existing heart failure ... will also get an EKG ... and CXR ... #diagnosis #workup
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulm edema, heart failure ... , COPD, Lung cancer ... Evaluation: Imaging (CXR ... Infections #HIVAIDS #workup ... #diagnosis #evaluation
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(DAH) & renal failure ... mononeuritis multiplex WORKUP ... & DIAGNOSIS Labs ... BNP, troponin if concern ... recent DAN) • EMG
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Diagnosis Algorithm ... in Cancer UOsm ... ≥ 100 mOsm/kg = ... RSW) • Heart failure ... #Cancer #algorithm
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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