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 adrenal clinical endocrinology management neurology sodium table insufficiency workup acth dislocation dizziness hypokalemia knee mri physicalexam posterior
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... and Hyperreflexia ... Hypermagnesemia, Hypothyroidism ... Hyperreflexia #Testing ... #Causes #differential
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... Testing Common ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Hypertension #Differential
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... : Cosyntropin Stimulation ... cortisol 30 min AND ... Step 3) Differentiate
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation
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
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
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 Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... • Euvolemic - Hypothyroidism ... #Diagnosis #Algorithm ... #causes #nephrology
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... Cerebral salt wasting ... Endocrinopathies - Hypothyroidism ... potomania - “Tea and ... Diagnosis #Table #Causes
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