Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases ... #sodium
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... - Cirrhosis Syndrome ... hemorrhage) - Pulmonary ... #Diagnosis #Table ... #Causes #Sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Diagnosis Algorithm Syndrome ... • Drugs • Pulmonary ... #Differential #
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential # ... diagnosis #table ... #neurology
Causes of Pleural Effusions
#Diagnosis #Pulmonary #PleuralEffusions #Differential #Table #Transudative #Exudative
Causes of Pleural ... Effusions #Diagnosis #Pulmonary ... PleuralEffusions #Differential ... #Table #Transudative
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... respiratory drive due to neurologic ... obesity-hypoventilation syndrome ... hepatopulmonary syndrome ... Failure #hypoxia #Differential
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... PARKINSON WHITE SYNDROME ... SEROTONINERGIC DRUGS • SODIUM ... PHAEOCHROMOCYTOMA • PULMONARY ... #Differential #
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... Hypernatremia #Differential ... #Diagnosis #Causes ... #nephrology #sodium
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... - Inability to differentiate ... patient is still able ... to copy Causes ... #neurology #diagnosis
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... Oral sodium loading ... • Cushing’s syndrome ... #Hypertension #Differential ... Screening #Workup #table