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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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... shock The FALLS-protocol ... to Weil's shock classification ... #Shock #Algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... causes β€’ Laxative ... syndrome, Congenital adrenal ... consumption β€’ Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Low #Abdomen #
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Differential Diagnosis Algorithm ... Low intake ... oral intake Renal ... Differential #Diagnosis #Algorithm ... #Causes #Classification
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... Hypothyroidism, adrenal ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... Cortisol, Saliva β€’ Low ... suppression test (DST) protocol ... Hormone β€’ MRI of adrenal ... endocrinology #Adrenal
Etiologies of Hypoaldosteronism

Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone)
 - Diabetic Nephropathy 
 - NSAIDs
Non-Hyporeninemic Hypoaldosteronism (Normal
Hypoaldosteronism (Low ... or High Renin, Low ... heparin - Primary adrenal ... Aldosterone #Comparison #Table ... #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... - Evaluation of ... unclear (often the case ... primary AI - Low ... Insufficiency #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Mineralocorticoid excess - Renal ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes