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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Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Algorithm Step ... determine the type ... initial Uosm and its ... Hypernatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Eosinophil Disorders ... Testing Algorithm ... during medical evaluation ... or workup for specific ... 1,500 cells/Β΅L Workup
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... evaluation of macrocytic ... recovery also causes ... of the initial work-up ... #Workup #AAFP
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... Chronic diarrhea / IBD ... 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. ... bowel syndrome (IBS ... ) sub-classifications ... of incomplete evacuation ... #Classes #Diagnosis
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
C4 - Test for disorders ... infections are common causes ... for autoimmune disorders ... cryoglobulinemias (types ... glomerular #testing #workup
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 ... β€’ Immunologic Workup ... β€’ Immunologic Workup ... sle #comparison #table
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
Alternative causes ... the underlying disorder ... phenobarbital use is ... -If you work at ... a center that is
β–Ί
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
C4 - Test for disorders ... infections are common causes ... for autoimmune disorders ... cryoglobulinemias (types ... glomerular #disease #workup