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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68 results
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Hypermagnesemia, Hypothyroidism ... Hypomagnesemia, Hyperthyroidism ... Hyperreflexia #Testing ... #diagnosis #table
Thyroid Disorders - Differential Diagnosis Algorithm
Hypothyroidism:
 • Hasimoto’s
 • Radioactive Iodine 
 • Hypopituitarism
 • Iodine
- Differential Diagnosis ... Algorithm Hypothyroidism ... Amy Chung, MD, MSc ... #Differential #Diagnosis ... #Algorithm #Hypothyroid
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Differential #Diagnosis
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... Evaluation of Hyperthyroidism ... Possibly Central Hypothyroidism ... → Subclinical Hyperthyroidism ... #algorithm #diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... Algorithm Radioactive ... Check pregnancy test ... #Hyperthyroidism ... #Algorithm #Workup
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... dexamethasone suppression test ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
Syphilis Diagnostic Algorithm
 • Syphilis (TP) EIA
 • RPR
 • A different treponemal specific test (TPPA)

ID
Syphilis Diagnostic ... Algorithm • Syphilis ... treponemal specific test ... Darcy_ID_doc #Syphilis #Diagnosis ... #Algorithm #Testing
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
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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Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Algorithm - Evaluation ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #Algorithm #ACTH