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
Hypertension - Differential ... and Screening Testing ... Oral sodium loading ... syndrome - Overnight 1- ... Screening #Workup #table
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... water retention 1) ... Acid β†’ renal salt wasting ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Workup Step #1 ... & desmopressin test ... #Sodium #nephrology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: β€’ ... dexamethasone suppression test ... protocol: - 1 ... Syndrome #diagnosis #algorithm
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... +K / serum Na >1 ... or low Uosm), Hypothyroidism ... #Hyponatremia #differential ... #diagnosis #table
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Cerebral salt wasting ... Endocrinopathies - Hypothyroidism ... #Diagnosis #Table ... #Causes #Sodium
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... : 1. ... Breath test for ... Workup #Management #Algorithm ... Transplant #diagnosis #differential
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening ... require Cosyntropin testing ... Step 3) Differentiate ... Insufficiency #Algorithm
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 #
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 β€’ Osmolality, Urine AND/OR
 β€’ Osmolality, Serum or Plasma AND
 β€’
Tests: β€’ Osmolality ... Plasma AND β€’ Sodium ... Water deprivation test ... Osmolality, Urine 1- ... #nephrology #differential