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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Hyponatremia - Differential Diagnosis and Evaluation Algorithm
In addition to edema and urine concentration, always consider urine
Diagnosis and Evaluation ... Algorithm In addition ... urine output when evaluating ... Differential #Diagnosis #Evaluation ... #Algorithm #nephrology
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... as distributive ... vasodilatation produces distributive ... #Types #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Differential Diagnosis by Classification ... Intractable vomiting Distributive ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
, Cardiorenal, Distributive ... Pigment, Protein) β€’ AIN ... Differential #Diagnosis #nephrology ... #causes #algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... The next step in ... wasting from other causes ... suggests extra-renal causes ... differential #potassium #nephrology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
- Indication: Distributive ... - Indication: Distributive ... - Indication: Distributive ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... blood flow caused ... Depends on the cause ... Distributive Shock ... : β€’ Distributive
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... evaluation? ... and creatinine (in ... CONSIDER INTRINSIC CAUSES ... workup #diagnosis #nephrology
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
protocol - POCUS evaluation ... in shock The ... using ultrasound in ... to Weil's shock classification ... Protocol #Shock #Algorithm
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
Algorithm for the ... diagnostic evaluation ... A diagnostic algorithm ... The approach uses ... #Differential #Evaluation
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