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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Hyperparathyroidism classification
Different causes and features of hyperparathyroidism - raised parathormone (PTH).

#Diagnosis #Hyperparathyroidism #Differential #Primary #Secondary #Tertiary
Hyperparathyroidism classification ... Different causes ... Hyperparathyroidism #Differential ... Secondary #Tertiary #Comparison ... #Table #Classification
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... vasodilatation, myocardial dysfunction ... #Differential # ... Causes #Types #Classification
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... #Syncope #Differential ... #Diagnosis #Classification ... #Table #Causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... #Classification ... #criticalcare #differential ... #causes #classification
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
renal tubular dysfunction ... Hypomagnesemia #Differential ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... #Classification ... #criticalcare #differential ... #causes #classification
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... due to renal/Gl losses ... findings based on cause ... Diagnosis #table ... #comparison #criticalcare
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Autoimmune (SLE/APLS ... -(rare), Valve dysfunction ... in up to 30% of cases ... #Endocarditis #comparison ... Marantic #diagnosis #table
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... exclude other causes ... Differential Diagnosis ... thrombus, RV systolic dysfunction ... Pts: cardiogenic shock