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 differential endocrinology potassium hyperkalemia low nephrology adrenal calcium diabetes dm2 dmii elevated emergencies evaluation hematology hemeonc hypokalemia hypomagnesemia hypomg
Diagnostic algorithm for the workup of hypercalcemia. The diagnostic workup for patients presenting with hypercalcemia rests
Diagnostic algorithm ... for the workup ... sensitivity for correct classification ... FHH and 12% of primary ... #Algorithm
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis Algorithm ... Elevated PTH (High ... or normal): • Primary ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... PTH - Frankly high ... → Primary hyperapara ... → Primary hyperpara
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... Normal, Renin High ... : • Primary hypoaldosteronism ... 1 #Hyperkalemia
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... abnormalities - Hypercalcemia ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Ureterosigmoidostomy Urinary ... and 2, but not type ... Low #Potassium #Table ... #Classification ... #Causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... insufficiency likely: • High ... baseline ACTH - Primary
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm Lifestyle Modifications (Diet and Exercise) -> Start
Type 2 Diabetes ... and Management Algorithm ... with DM2 • High ... • Secondary Causes ... #DM2 #DMII #Classification
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... an underlying cause ... up EPO levels Primary ... levels: normal/high ... #workup #hematology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... diuresis can be high ... water intake (Primary ... differential #diagnosis #table
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