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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Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Do you need an ABG ... approximates an ABG ... Differential Diagnosis ... #Evaluation #workup ... Diagnosis #acidosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... ABG And BMP Normal ... Diagnosis: Causes ... D-lactate (short bowel syndrome ... #AcidBase #disorders
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential ... Diagnosis Algorithm ... Drugs, Endocrine disorders ... #Workup #nephrology
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup ... and Differential ... Diagnosis Algorithm ... Consumption Disorders ... Eating disorders
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential ... Diagnosis Framework ... Rhabdomyolysis, Tumor lysis syndrome ... Shift: β€’ Lactic acidosis ... #nephrology
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup ... and Differential ... Diagnosis Algorithm ... Consumption Disorders ... Eating disorders
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
neurocognitive disorders ... Aphaso-apraxo-agnosia syndrome ... MNCD #Dementia #Differential ... #Subtypes #Classification ... #Workup #Diagnosis
Hypocalcemia Workup - Differential Diagnosis Algorithm
 β€’ Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 β€’ High
Hypocalcemia Workup ... - Differential ... Diagnosis Algorithm ... , Infiltrative disorders ... metastases, Hungry bone syndrome
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Familial renal Mg wasting ... Hypomagnesemia #Differential ... #Diagnosis #Low ... Magnesium #Table #Classification ... #Causes #Workup
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... Diagnosis for Pulmonary ... Disease-specific testing ... #differential # ... diagnosis #nephrology