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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Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
and Screening Testing ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Screening #Workup ... #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 ... Differential #Diagnosis #Algorithm
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
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 ... , Adrenal Insufficiency ... differential #diagnosis #table
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... an underlying cause ... you’ll do a good workup ... Best to have an ... #workup #hematology
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
lies prone on the table ... buttock, if the hip raises ... off of the table ... or leg during testing ... #physicalexam #msk
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
lies prone on the table ... buttock, if the hip raises ... off of the table ... or leg during testing ... #physicalexam #msk
Antiphospholipid Syndrome (APLS) Testing - Hypercoagulable Workup Algorithm
INDICATIONS FOR TESTING:
 • Vascular thrombosis
Hypercoagulable Workup ... Algorithm INDICATIONS ... , or placental insufficiency ... maternal chromosomal causes ... #Algorithm #diagnosis
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