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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10 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ) stimulation test
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening Test ... require Cosyntropin testing ... Step 3) Differentiate ... Insufficiency #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Test #Endocrinology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... withdrawal of suspected agent ... #Hypertension #Differential ... Screening #Workup #table
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Breath test for ... change to different agent ... anti-motility agents ... Transplant #diagnosis #differential
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Polycythemia - Differential ... Diagnosis Algorithm ... an underlying cause ... Best to have an ... #Diagnosis #Algorithm
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
lies prone on the table ... buttock, if the hip raises ... off of the table ... or leg during testing ... #physicalexam #msk
β–Ί
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
lies prone on the table ... buttock, if the hip raises ... off of the table ... or leg during testing ... #physicalexam #msk
β–Ί
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Cerebral Salt Wasting ... #Hyponatremia #differential ... #diagnosis #table
Hyperthermic Toxidromes
Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures.
 β€’ Sympathomimetic -
of muscarinic Ach ... single serotonergic agent ... pharmacogenetic disease caused ... Toxidromes #comparison #table ... #diagnosis #differential