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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Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential Diagnosis ... Framework Rule ... Rhabdomyolysis, Tumor lysis syndrome ... #Framework #Workup ... #phosphate #nephrology
Parkinson Plus Syndromes

#Diagnosis #Neurology #Parkinsons #Plus #Syndromes #Comparison #Table #PSP #LewyBodyDementia #Progressive #SupraNuclearPalsy #MSA #MultipleSystemAtrophy
Parkinson Plus Syndromes ... #Diagnosis #Neurology ... Parkinsons #Plus #Syndromes ... #Comparison #Table ... SupraNuclearPalsy #MSA
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... Framework Rule ... #Framework #Workup ... #phosphate #nephrology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Chorioretinitis • Diagnosis ... - Compatible syndrome ... + MRI lesions + ... #causes #radiology ... #neurology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
), compartment syndrome ... • If stable ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Proximal #MSK
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... MRI was ordered ... the hospital, diagnosed ... with MS, and started ... ophthalmology #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... - Spinal MRI may ... Guillain #Barre #Syndrome ... #diagnosis #management ... #neurology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... to work through ... demyelination syndrome ... #Treatment #management ... #nephrology #sodium
Rhabdomyolysis - Differential Diagnosis Framework
Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
- Differential Diagnosis ... Framework Rhabdomyolysis ... Neuroleptic malignant syndrome ... #Causes #nephrology ... #table