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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Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan β†’ Indoxyl
Purple Urine Bag ... Syndrome Chronic ... #Syndrome #PUBS ... #pathophysiology ... clinical #photo #differential
Metabolic Pathways of Purple Urine Bag Syndrome: Adopted from chart originally published in Purple Urine Bag
of Purple Urine Bag ... Syndrome: Adopted ... Syndrome: A Rare ... #Pathophysiology ... #Syndrome
Glucagon: Bypassing Ξ²-Blockade

Glucagon pathophysiology and clinical applications in anaphylaxis and beta-blocker overdose

#Toxicology #Pharmacology #Pathophysiology #Glucagon #BetaBlocker
Ξ²-Blockade Glucagon pathophysiology ... beta-blocker overdose #Toxicology ... #Pharmacology # ... Pathophysiology
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... NeurolepticMalignant #Syndrome ... #Diagnosis #Toxicology ... #Comparison #Differentiate
A toxidrome is a syndrome (set of symptoms) caused by specific medications or toxins.

There are 5
toxidrome is a syndrome ... There are 5 big ... #Diagnosis #Toxicology
Causes of Hypercalcemia due to increased Vitamin D levels
 β€’ The BIG 3:
levels β€’ The BIG ... Silicone-induced granuloma, BCG-associated ... Genetic: Williams syndrome ... VitaminD #causes #differential
Abnormally Colored Urine - Differential Diagnosis Framework
Red:
 - Hematuria, Hemoglobinuria, Myoglobinuria
 - Beets, Rhubarb, Blackberries, Artificial
Colored Urine - Differential ... - Purple urine bag ... syndrome (chronically ... Discoloration #Differential
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... ABG And BMP Normal ... acidosis Step 5 - Differential ... D-lactate (short bowel syndrome ... Base #Gas #VBG #differential
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal Syndrome ... symptomatology Differential ... Pulmonary Renal Syndromes ... Bronchoscopy with serial BAL ... #differential #
Hypoglycemia Workup and Differential Diagnosis
Workup:
 β€’ Sulfonylurea Labs
 β€’ Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 β€’
Hypoglycemia Workup and Differential ... Insulin Autoimmune Syndrome ... still rise by 25+ Differential ... Insulin Autoimmune Syndrome ... Hypoglycemia #Workup #Differential