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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33 results
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Insufficiency Algorithm ... - Cosyntropin Stimulation ... Test T-1m: Baseline ... Insufficiency #Testing ... #Algorithm #Cosyntropin
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
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #ACTH #Stimulation ... #Test #Endocrinology
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 • Baseline ... Differential #Diagnosis #Algorithm
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
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
Glucose Tolerance Testing ... Glucose Challenge Test ... Glucose Tolerance Test ... Well-being GBS Testing ... Amy Chung, MD, MSc
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
Syphilis Reverse Algorithm ... specific trep. tests ... first step in the algorithm ... 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 ... Palsy This tests ... ulnar nerve palsy, testing ... #physicalexam #msk ... orthopedics #sports #hand
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Yergason's Test on Physical Exam
Yergason's test for biceps tendon pathology testing stability of the tendon within
Yergason's Test ... Exam Yergason's test ... tendon pathology testing ... popping/pain is +test ... clinical #video #msk
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Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Management Algorithm ... Microbiologic-Testing ... Microbiologic-Testing ... Breath test for ... Workup #Management #Algorithm