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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24 results
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 ... : Work-up similar ... to hyperthyroidism ... critical illness, and ... #algorithm #diagnosis
Antenatal Visits - Testing and Schedule
At Every Visit:	
 β€’ Gestational Age	
 β€’ BP
 β€’ Maternal Weight
Protein Blood Work ... β€’ HepB β€’ HIV ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc
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 ... Insufficiency #Algorithm
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Screening Testing ... of hypokalemia and ... salivary cortisol β€’ Hypothyroidism ... β€’ Hyperthyroidism ... Causes #Screening #Workup
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND β€’ Baseline ... Differential #Diagnosis #Algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: β€’ ... dexamethasone suppression test ... between 11 pm and ... 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 ... #Management #Algorithm
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
susceptibility testing ... the preferred test ... typically part of the workup ... β€’ Test all patients ... for HIV, Chlamydia
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... C3, C4 - Test for ... for HIV are present ... #glomerular #testing ... #workup #diagnosis