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 nephrology algorithm clinical causes physicalexam hypokalemia potassium video positive reflex ultrasound workup babinski injury kidney lung pulmonary signs urine
Abnormal (Positive, Upgoing) Babinski Sign on Physical Exam #Abnormal #Positive #Babinski #Sign #PhysicalExam #clinical #video #reflex #pyramidal
Abnormal (Positive ... Upgoing) Babinski Sign ... Positive #Babinski #Sign ... video #reflex #pyramidal ... #neurology
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 Abnormal (Positive) Babinski Sign on Physical Exam Dorsiflexion of the great toe with or without fanning of
Abnormal (Positive ... ) Babinski Sign ... #Abnormal #Positive ... #Babinski #Sign ... #neurology
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 Normal prominent medullary pyramids on renal POCUS No hydronephrosis. Has prominent medullary pyramids. They can appear markedly
medullary pyramids ... on renal POCUS ... Note how they taper ... #medullary #pyramids ... renal #kidney #POCUS
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 Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Extra-renal Losses: • Normal ... Acid-Base: Low ... #Hypokalemia #Differential ... #nephrology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Hyperplasia • Normal ... Al, Normal R - ... #Hypokalemia #Differential ... Diagnosis #Algorithm #nephrology
Low Anion Gap - Various causes and mechanisms of a Low Anion Gap • Hypoalbuminemia (1gm
Low Anion Gap - ... mechanisms of a Low ... anion gap) • Normal ... AnionGap #causes #differential ... #diagnosis #nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... Hypercalcemia Low ... PTHrP: - Low ... Hypercalcemia #Differential ... Algorithm #Workup #nephrology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
unilateral; • Slow ... response to dark; • Slow ... Young females Differential ... Ill Palsy - abnormal ... #PhysicalExam #neurology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... or Low PTH: ... or Low FGF-23: ... Hypophosphatemia #Differential ... Workup #phosphate #nephrology
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
sliding/barcode sign ... submassive PE) POCUS ... #pulmonary #differential ... #diagnosis #signs ... #Lung #POCUS #ultrasound
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