Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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12 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 โ€ข Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... Oral sodium loading ... โ€ข Hyperthyroidism ... Screening #Workup #table
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 โ€ข Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Hypermagnesemia, Hypothyroidism ... Hyperreflexia #Testing ... #Causes #differential ... #diagnosis #table
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (โ€œDecr Effective Circulating Volumeโ€) 
 - Volume depletion
Hyponatremia - Differential ... Cerebral salt wasting ... Endocrinopathies - Hypothyroidism ... #Diagnosis #Table ... #Causes #Sodium
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 ... #Hyponatremia #differential ... #diagnosis #table
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... treat underlying cause ... CKD, Thiazides, Hypothyroidism ... diagnosis #nephrology #sodium
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
A lazy man's classification of hyponatremia
There are two possible approaches to the diagnosis of hyponatremia: .
essentially the same tests ... osmolality and urinary sodium ... cerebral salt wasting ... #Hyponatremia #Algorithm ... #Differential #
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... approach to the differential ... the underlying cause ... up to 3x in the setting ... management #nephrology #sodium
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isnโ€™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
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