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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Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 โ€ข Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... and Hyperreflexia ... Hyperreflexia #Testing ... #Causes #differential ... #diagnosis #table
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 โ€ข Renal parenchymal disease
Hypertension - Differential ... Testing Common ... โ€ข Hyperthyroidism ... #Screening #Workup ... #table
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
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (โ€œDecr Effective Circulating Volumeโ€) 
 - Volume depletion
Cerebral salt wasting ... Endocrinopathies - Hypothyroidism ... potomania - โ€œTea and ... #Diagnosis #Table ... #Causes #Sodium
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 ... AND โ€ข Baseline
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Medications - Loop and ... Hypomagnesemia #Differential ... Low #Magnesium #Table ... Classification #Causes ... #Workup #hypomg
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 ... #workup #hematology
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 - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... Then, ask 3 questions ... to work through ... the underlying cause ... up to 3x in the setting
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
workup. ... nerve injury (25%) TEST ... ligament/meniscus testing ... WORK UP: obtain ... Posterior #Injury #msk
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