Dr. Gerald Diaz @GeraldMD
51.3M 14.5K 7.6K
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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Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan โ€“ get if concern for nodular
Hyperthyroidism ... ) - Diagnostic Algorithm ... Check pregnancy test ... choices AND management ... #Hyperthyroidism
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 โ€ข Renal parenchymal disease
and Screening Testing ... Renal ultrasound, Tests ... salivary cortisol โ€ข Hypothyroidism ... โ€ข Hyperthyroidism ... #Screening #Workup
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
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 ... hormone (ACTH) stimulation ... test AND โ€ข Baseline
Antenatal Visits - Testing and Schedule
At Every Visit:	
 โ€ข Gestational Age	
 โ€ข BP
 โ€ข Maternal Weight
Protein Blood Work ... Stillbirth GDM Management ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc
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
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isnโ€™t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... an underlying cause ... about secondary causes ... Best to have an ... #workup #hematology
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

โถ Call for help and inform theatre
stop any other stimulation ... oxygen and face mask ... Consider other causes ... Checklist #Diagnosis #Management ... #Workup
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... to work through ... the underlying cause ... up to 3x in the setting ... Diagnosis #Treatment #management
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
unique approach and workup ... nerve injury (25%) TEST ... ligament/meniscus testing ... WORK UP: obtain ... Posterior #Injury #msk
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