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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Approach to Low Back Pain - Differential Algorithm
- Non-MSK
- Axial / Musculoskeletal
- Radicular
- Systemic Disease (Do
Approach to Low ... Back Pain - Differential ... Algorithm - Non-MSK ... #LowBackPain #Differential ... #Algorithm #Causes
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... Cortisol, Saliva • Low ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm
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 ... ACTH) stimulation test
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 ... primary AI - Low
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... Step 3) Differentiate ... - Low ACTH is
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
Syphilis Reverse Algorithm ... first step in the algorithm ... of inflammation caused ... Syphilis #Reverse #Algorithm ... #Testing #Diagnosis
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... Renal ultrasound, Tests ... sodium loading test ... #Hypertension #Differential
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... Acid → renal salt wasting ... #Diagnosis #Algorithm
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... Palsy This tests ... grip weakness caused ... ulnar nerve palsy, testing ... #physicalexam #msk
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Causes of Low Back Pain - Differential Diagnosis
Intrinsic Spine: Lumbar strain, Herniated nucleus pulposus, Compression fracture,
Causes of Low Back ... Pain - Differential ... Lower #BackPain #Differential ... #Diagnosis #causes ... #primarycare #msk