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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21 results
Causes of elevated osmolal gaps. For the 341 patients who presented with elevated osmolal gap (OG)
osmolal gaps. ... chromatography and by chart review ... #Diagnosis #Toxicology ... #Osmolar #Osmolal ... #Gap #Causes #Differential
Causes of elevated osmolal gaps. For the 341 patients who presented with elevated osmolal gap (OG)
osmolal gaps. ... chromatography and by chart review ... #Diagnosis #Toxicology ... #Osmolar #Osmolal ... #Gap #Causes #Differential
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
The differential ... listed in the table ... is difficult to differentiate ... #Management #Radiology ... Multiple #Massess #Differential
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
blockers which cause ... widening #ECG #EKG #Pharmacology ... #Medications #Toxicology ... #Diagnosis #Differential ... #Drugs #Classes
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Kidney Injury - Differential ... urinalysis, labs - Management ... treating underlying cause ... : Relief of obstruction ... #Injury #AKI #Differential
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Hypermagnesemia #Differential ... High #Magnesium #Table ... #Causes #Management
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
Guideline for the Management ... updated systematic review ... summarised in Tables ... #Pharmacology # ... Effectiveness #Table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... Vasopressors #Properties #Table ... #Pharmacology # ... Effect #Management
Toxic Alcohol Ingestion: Clinical Features, Diagnosis, and Management
Methanol intoxication:
 β€’ Accidental or intentional ingestion of adulterated
Diagnosis, and Management ... methanol; rare cases ... Ingestion #diagnosis #toxicology ... #comparison #table ... #management #treatment
Naloxone - Toxicology

Adult starting dose:
 - 0.4 mg IV/IM/IO/SQ for non-opioid dependent patients
 - 0.04 mg
Naloxone - Toxicology ... search for other causes ... Naloxone #Narcan #Toxicology ... #Management #Pharmacology