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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13 results
Large Atrial Septal Defect and clearly not a PFO. I want to personally thank all the
Atrial Septal Defect ... opportunity for clarification ... Clinical #Cardiology #POCUS ... Echocardiogram #A4C
β–Ί
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
and Management Algorithm ... PostPrandial Insulin A1c ... relative with DM2 ... β€’ Secondary Causes ... #DM2 #DMII #Classification
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Differential Diagnosis Algorithm ... ab β€’ Genetics defects ... -1beta, cyclin M2 ... Magnesium #Low #Causes
Severity of Aortic Stenosis in Adults 
Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
Adults Current ACC ... area (AVA) <1.0 cm2 ... /m2, mean gradient ... >50 mmHg (2) (Table ... AorticStenosis #Classification
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Differential Diagnosis by Classification ... Medication side effect ... Medication side effect ... Differential #Diagnosis #Classification ... #Table #Causes
Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
process fracture Stable ... fractures: Don't cause ... or neurologic deficit ... , still able to ... β€’ Neurological deficit
Aortic Stenosis Grading on echocardiography
The cut-offs for grading can be found in table 1. Discrepancies are
can be found in table ... and are usually caused ... an EOA of 0.8 cm2 ... rather than 1.0 cm2 ... AorticStenosis #Classification
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Genetic defects ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
GLP-1 Receptor Agonists - Pharmacology Summary
Mechanisms of Action: Stimulate glucose-dependent insulin release from the pancreas (GLP-1
Ozempic), or daily tablet ... e.g. diarrhea, nausea ... not definitively cause ... /effect) β€’ May ... Pharmacology #Summary #DM2
DPP-4 Inhibitors - Pharmacology Summary
Mechanisms of Action: Inhibits DPP-4 (dipeptidyl peptidase 4), which normally inactivates GLP-1
Januvia) - Once/day tablet ... Onglyza) - Once/day tablet ... not definitively cause ... /effect) β€’ Saxagliptin ... Pharmacology #Summary #DM2