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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14 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 β€’ Low TSH, Low normal T4
Thyroid Function Tests ... in the Evaluation ... of Hyperthyroidism ... : Work-up similar ... #algorithm #diagnosis
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 ... Ova and Parasite evaluation ... Breath test for ... #Diarrhea #Workup
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation ... Algorithm Interpreting ... at the time of testing ... β†’ IGF-2 - Malignancy ... #Algorithm #workup
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Differential Diagnosis Algorithm ... Diabetes Insipidus Workup ... history Step #2 ... & desmopressin test ... #Sodium #nephrology
Antenatal Visits - Testing and Schedule
At Every Visit:	
 β€’ Gestational Age	
 β€’ BP
 β€’ Maternal Weight
Protein Blood Work ... Glucose Challenge Test ... after - BW 2 ... β‰₯10.6 mmol/L, 2 ... Amy Chung, MD, MSc
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Algorithm Step ... elevated Step 2: ... Consider additional tests ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Step 2. ... β€’ SIADH β€’ hypothyroidism ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Acromegaly Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... (2 hours post GTT ... gland and consider evaluation ... #Algorithm #diagnosis
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... C3, C4 - Test for ... cryoglobulinemias (types 2 ... #workup #diagnosis ... nephrotic #nephritic #nephrology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
In-office testing ... and the ice pack test ... dismay the blood work ... include a Tensilon test ... tumor, and always ask
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