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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diagnosis hyponatremia nephrology management causes insipidus workup 1 3 acth adrenal di diabetes diarrhea endocrinology hypernatremia hypertension hypotonic insufficiency lazy
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... and Screening Testing ... Oral sodium loading ... • Hyperthyroidism ... Screening #Workup #table
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... Acid → renal salt wasting ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... history Step #2 ... & desmopressin test ... #Sodium #nephrology
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - 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
normal volume-based algorithm ... or low Uosm), Hypothyroidism ... Cerebral Salt Wasting ... #Hyponatremia #differential ... #diagnosis #table
Diarrhea Workup and Management Algorithm in Transplant Patients First Tier Microbiologic-Testing: 1. C. difficile PCR (Stool) 2. CMV qPCR
and Management Algorithm ... Microbiologic-Testing ... 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 ... require Cosyntropin testing ... Step 2) Confirmation ... Step 3) Differentiate ... checked in Step 2
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: • Osmolality, Urine AND/OR • Osmolality, Serum or Plasma AND •
Tests: • Osmolality ... Plasma AND • Sodium ... Water deprivation test ... Osmolality, Urine 1-2 ... #nephrology #differential
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... approach to the differential ... 2) Is ADH elevated ... up to 3x in the setting ... management #nephrology #sodium
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