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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25 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
and Screening Testing ... h of infusion Adrenal ... CT scan, adrenal ... salivary cortisol β€’ Hypothyroidism ... β€’ Hyperthyroidism
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone β€’ MRI of adrenal ... Syndrome #diagnosis #algorithm ... endocrinology #Adrenal
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 Β΅g cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
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 ... ) Confirmation Test ... Insufficiency #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 ... ulnar nerve palsy, testing ... Palsy #clinical #video ... #physicalexam #msk
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Yergason's Test on Physical Exam
Yergason's test for biceps tendon pathology testing stability of the tendon within
Yergason's Test ... Exam Yergason's test ... tendon pathology testing ... PhysicalExam #clinical #video ... #msk #sports
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Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... β‰₯100): SIADH, Renal ... or low Uosm), Hypothyroidism ... , Adrenal Insufficiency ... Cerebral Salt Wasting
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
In-office testing ... and the ice pack test ... include a Tensilon test ... tumor, and always ask ... PhysicalExam #clinical #video
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