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
and 2, but not type ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Vein Rouleaux Flow ... showing Rouleaux flow ... Whenever the blood flow ... significantly, it causes ... #vascular #clinical
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Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Differential Diagnosis Algorithm ... Low intake ... Differential #Diagnosis #Algorithm ... #Causes #Classification
Etiologies of Hypoaldosteronism

Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone)
 - Diabetic Nephropathy 
 - NSAIDs
Non-Hyporeninemic Hypoaldosteronism (Normal
Hypoaldosteronism (Low ... Renin, Low Aldosterone ... or High Renin, Low ... Aldosterone #Comparison #Table ... #Causes
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Dense Spontaneous Echo Contrast (SEC) on POCUS
Rouleaux flow on POCUS.  RBCs stick together to form
Rouleaux flow on ... flow or increased ... some COVID-19 cases ... Rouleaux #Blood #flow ... #POCUS #clinical
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Internal Jugular Vein Rouleaux Flow on POCUS - Longitudinal View

Amazing video of a dilated IJV showing
Vein Rouleaux Flow ... showing Rouleaux flow ... Whenever the blood flow ... significantly, it causes ... #vascular #clinical
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Source of pt's sepsis - bacterial orchitis. Heterogenous testicle with areas of necrosis/abscess with absent flow,
abscess with absent flow ... areas of increased flow ... doppler. 40% of cases ... have high flow ... #POCUS #ScrotalUS
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Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Hypovolemic Shock - Low ... Cardiogenic Shock - Low ... Obstructive Shock - Low ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... Hypovolemic Shock - Low ... Cardiogenic Shock - Low ... Obstructive Shock - Low ... #differential #causes