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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Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Step #1 - Consider ... Uglucose Step #3 ... #Management #Algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... #Management #Algorithm ... #Transplant #diagnosis ... #differential
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... to work through ... 1) Is it hypotonic ... #Differential # ... #management #nephrology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... onset over 1 week ... consistent with pulmonary ... detected on CT or CXR ... Summary #CheatSheet #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Vasoactive Drugs 1) ... Nitroprusside, Nesiritide 3) ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
SOFA and SIRS 1) ... telemetry, 12-Lead EKG ... Readily Reversibles 3) ... Tamponade - Pulmonary ... >> Acute PE, Tension
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
β€’ Obstructive: Pulmonary ... Treatment Goals: 1) ... Lactate < 2.0 3) ... #algorithm #treatment ... #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: 1) ... respiratory cause 3) ... 5) History of acute ... , Diaphoresis, Pulmonary ... 1) Resuscitation
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... post-obstructive 3) ... ([Na] / 140) - 1) ... patient weight (eg ... #management #nephrology
Pleural Manometry Summary
Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
measurement: 1) ... intermittently (e.g ... Pleural #Manometry #diagnosis ... #management #pulmonary ... #differential #