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
Diagnostic Evaluation ... Algorithm Step ... determine the type ... #Diagnosis #Workup ... #Evaluation #Algorithm
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... DrEricStrong #Hyponatremia ... #Diagnosis #Workup ... #Evaluation #Algorithm
Diagnostic Approach to Hyponatremia
Box A:
 β€’ Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose
 β€’ Pseudohyponatremia:
Diagnostic Approach to Hyponatremia ... Normo/hyperosmolar Hyponatremia ... Primary Polydipsia, Low ... #Diagnosis #Algorithm ... #workup
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
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 β€’ Low TSH, Low normal T4
Function Tests in the Evaluation ... Hyperthyroidism β€’ Low ... TSH, Low normal ... Hyperthyroidism: Work-up ... Hyperthyroidism #algorithm
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... normal volume-based algorithm ... can be high or low ... Primary polydipsia), Low ... differential #diagnosis #table
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Assessment of a Patient Presenting to the ED after a Medical Abortion:
 β€’ History, including if/when
CBC and blood type ... Medical #Abortion #algorithm ... #workup #evaluation
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
β€’ Immunologic Workup ... in >90% - Low ... β€’ Immunologic Workup ... 60-80% - Low ... sle #comparison #table
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -Serial evaluation ... never be used to β€œblow ... RespiratorySupport #Selection #Algorithm
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