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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diagnosis signs workup abdominal acute adrenal aids aki arteritis cmv comatose cytomegalovirus dangerous deadly dizziness dizzy endocrinology evaluation fatal fever
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Clinical suspicion ... Weakness, fatigue, nausea ... musculoskeletal pain ... ACTH) stimulation test
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... osmolarity If cause ... investigations depending on clinical ... context and signs ... #causes
Rare Causes of Abdominal Pain • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
- May involve symptoms ... Positive Carnett's sign ... incisional hernias: clinical ... #Rare #Causes ... #differential #
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
pp65 antigenemia test ... 50 or less: • Neurologic ... Retinitis (Most common cause ... AIDS #diagnosis #differential ... #signs #symptoms
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Workup • CNS symptoms ... Returning Traveler’ algorithm ... Test for the respective ... thin smear • Signs ... node biopsy • Clinical
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.) Questions regarding the
head-impulse, nystagmus, test ... The approach uses ... Timing of the symptom ... into one of three clinical ... #Differential #
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 13 Dangerous Causes of Headache: - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
13 Dangerous Causes ... dissection: unilateral pain ... thrombophilia, neurologic ... signs/symptoms ... Dangerous #Deadly #Differential
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... systemic sx + signs ... very remarkable w/differential ... the “Chewing gum test
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Possible responses to pain ... • Examine for signs ... Casey Albin MD @ ... #PhysicalExam #neurology
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