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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High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
Acidosis (HAGMA) - Differential ... Diagnosis - GOLDMARK ... with short bowel syndrome ... Acidosis #HAGMA #Differential ... #Diagnosis #GOLDMARK
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Low intake β€’ Metabolic ... Renal Losses: β€’ Metabolic ... #Diagnosis #Algorithm
Causes of Rhabdomyolysis - Differential Diagnosis
 β€’ Drugs & Toxins (Statins, alcohol, cocaine)
 β€’ Direct Muscle
Rhabdomyolysis - Differential ... Diagnosis β€’ Drugs ... malignant neuroleptic syndrome ... (myositis) β€’ Metabolic ... #Diagnosis #Causes
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
Acidosis (MALA) Pathophysiology ... use in cellular metabolism ... Diagnosis of MALA ... LacticAcidosis #Toxicity #Toxicology ... #Diagnosis #Management
Serotonin Syndrome Drug Precipitants and Pharmacology
↑ Serotonin Formation: Tryptophan, Oxitriptan
↑ Serotonin Release: Amphetamines, Cocaine, Mirtazapine
↑ Serotonin
Serotonin Syndrome ... Lithium ↓ Serotonin Metabolism ... #Pharmacology # ... medications #causes #differential ... #diagnosis #drug
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... NeurolepticMalignant #Syndrome ... #Diagnosis #Toxicology ... #Comparison #Differentiate
Non-cirrhotic Hyperammonemia - Differential Diagnosis Framework

Hematologic & Vascular:
 β€’ Multiple myeloma & Acute leukemia (plasma cells
Hyperammonemia - Differential ... Diagnosis Framework ... Y t amino acid metabolism ... Hyperammonemia #ammonia #Differential ... #Diagnosis #Pathophysiology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... BP = Bartter's Syndrome ... , Gitelman's Syndrome
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
Heart Failure - Pathophysiology ... and Differential ... Diagnosis Obesity ... Hyperthyroidism - Increased Metabolism ... #Differential #
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 β€’ Cl- responsive metabolic alkalosis
- Differential ... Diagnosis Algorithm ... , Gitelman syndrome ... #Alkalosis #Differential ... #Diagnosis #Algorithm