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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Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
tubular acidosis (Types ... and 2, but not type ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
initially requires an evaluation ... identification of the type ... overlap; ICS = ... Diagnosis #Management #ACOPD ... #Differences #Algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... hypokalemia is ... consumption β€’ Low ... Hypokalemia #diagnosis #Algorithm ... potassium #nephrology #low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Chronic diarrhea / IBD ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... ) sub-classifications ... (IBS-D) - >25% ... of incomplete evacuation ... #Classes #Diagnosis
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
Reduce risk of COPD ... exacerbations Drug Class ... Initiate if severe COPD ... Dosing: 250 mcg tablet ... eosinophils are low
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... (classic) 2) Flask ... Sigmoid shape is ... acts like a bag" now ... #Achalasia #Classification
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... / serum Na >1 is ... can be high or low ... Uosm <100): Renal Losses ... differential #diagnosis #table
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... rare, Malar rash is ... in >90% - Low ... 60-80% - Low ... sle #comparison #table
The first step is to separate seizures by how they begin in the brain. The type
The type of seizure ... , and possible causes ... on, the seizure type ... Neurology #ILAE2017 #Classification ... #Seizure #Types