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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11 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Causes of Secondary ... Hypertension - Differential ... and Screening Testing ... β€’ Hyperthyroidism ... Acromegaly #Secondary
Causes of Secondary Amenorrhea - Differential Diagnosis
 β€’ Pregnancy
 β€’ Endocrinopathies: PCOS, Hypothyroidism
 β€’ HPA Dysfunction:
Causes of Secondary ... Amenorrhea - Differential ... Endocrinopathies: PCOS, Hypothyroidism ... Strenuous exercise, Eating ... #Diagnosis #Causes
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 ... #Stimulation #Test
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... baseline ACTH - Secondary
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 3) Differentiate ... primary vs secondary ... Insufficiency #Algorithm
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Algorithm INDICATIONS ... β€’ Screen for secondary ... causes of eosinophilia ... (common causes ... #Differential #
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Polycythemia - Differential ... Diagnosis Algorithm ... causes: Many of ... Best to have an ... #Diagnosis #Algorithm
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Primary and Secondary ... Red Flags and Differential ... Patient Prefers to Rest ... Amy Chung, MD, MSc ... #causes #primary
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 ... or low Uosm), Hypothyroidism ... Cerebral Salt Wasting ... #Hyponatremia #differential
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Posterior Knee Dislocation ... : ~25% cases. ... nerve injury (25%) TEST ... ligament/meniscus testing ... Posterior #Injury #msk
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