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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Phosphate Binders - Pros and Cons

Calcium carbonate (TumsTM) 
 - Most inexpensive, antacid properties useful for
Low pill burden. ... Low pill burden ... #Table #Comparison ... #Pharmacology # ... Nephrology
Key Characteristics of Old and New Potassium-Binding Agents

- Dr. Edgar V. Lerma https://twitter.com/edgarvlermamd

#Potassium #Binding #KBinders #Kayexelate
Potassium #Binding #KBinders ... #Kayexelate #Comparison ... #Table #Pharmacology ... #HyperKalemia #Nephrology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal/low ... Red blood cell casts ... Serum albumin - Low ... #Nephritic #Comparison ... #Table #Nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Normal Acid-Base: Low ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes ... #nephrology
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
When trying to differentiate ... with Serotonin Syndrome ... Serotonin Syndrome ... NeurolepticMalignant #Comparison ... #Table
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... name their own fingers ... - Inability to differentiate ... patient is still able ... #neurology #diagnosis
Hyperaldosteronism - Etiologies of Mineralocorticoid Excess

Primary Hyperaldosteronism (Normal or Low Renin, High Aldosterone) 
 - Aldosterone-secreting
Renin, Normal or Low ... - Cushing’s syndrome ... Hyperaldosteronism #Differential ... #Aldosterone #Comparison ... #Table
Etiologies of Hypoaldosteronism

Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone)
 - Diabetic Nephropathy 
 - NSAIDs
Non-Hyporeninemic Hypoaldosteronism (Normal
Hypoaldosteronism (Low ... or High Renin, Low ... Hypoaldosteronism #Differential ... #Aldosterone #Comparison ... #Table #Causes
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Used Phosphate Binders ... Lowers level of low-density ... increased risk of low ... #Table #Comparison ... #Pharmacology #
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential # ... diagnosis #table ... #neurology