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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Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Hypertension - Differential ... Diagnosis and Screening ... Testing Common ... β€’ Hyperthyroidism ... #Workup #table
Thyroid Disorders - Differential Diagnosis Algorithm
Hypothyroidism:
 β€’ Hasimoto’s
 β€’ Radioactive Iodine 
 β€’ Hypopituitarism
 β€’ Iodine
Thyroid Disorders - Differential ... Diagnosis Algorithm ... Hypothyroidism ... Amy Chung, MD, MSc ... #Diagnosis #Algorithm
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Check pregnancy test ... #Hyperthyroidism ... #Workup #Endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 β€’ Low TSH, Low normal T4
Thyroid Function Tests ... Evaluation of Hyperthyroidism ... : Work-up similar ... to hyperthyroidism ... #algorithm #diagnosis
Antenatal Visits - Testing and Schedule
At Every Visit:	
 β€’ Gestational Age	
 β€’ BP
 β€’ Maternal Weight
Protein Blood Work ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc ... #Schedule #Screening
Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
Vascular imaging β†’ Test ... Age-appropriate cancer screening ... - No other workup ... Hypercoagulable #Workup ... hematology #diagnosis #algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome Testing ... Algorithm INDICATIONS ... FOR TESTING: β€’ ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Breath test for ... #Diarrhea #Workup ... 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
Chronic Diarrhea - Workup
Osmotic:
 β€’ Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea - Workup ... hydrogen breath test ... A/P, Consider testing ... Chronic #Diarrhea #Workup ... #diagnosis #differential