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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24 results
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... and Hyperreflexia ... Hypermagnesemia, Hypothyroidism ... Hyperreflexia #Testing ... #diagnosis #table
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... AND • Baseline
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Screening Testing ... of hypokalemia and ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... Screening #Workup #table
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Cerebral salt wasting ... Endocrinopathies - Hypothyroidism ... - Adrenal insufficiency ... Differential #Diagnosis #Table ... #Causes #Sodium
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... require Cosyntropin testing ... cortisol 30 min AND ... #Algorithm #Diagnosis
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... dexamethasone suppression test ... between 11 pm and ... Syndrome #diagnosis #algorithm
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... • Euvolemic - Hypothyroidism ... , adrenal insufficiency ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
Syphilis Reverse Algorithm ... first step in the algorithm ... of inflammation caused ... Syphilis #Reverse #Algorithm ... #Testing #Diagnosis
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... grip weakness caused ... ulnar nerve palsy, testing ... #physicalexam #msk ... orthopedics #sports #hand