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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Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... evaluation of macrocytic ... reticulocyte count is elevated ... also causes an ... #Workup #AAFP
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Algorithm Step ... actually be normal or elevated ... considered likely, the cause ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 β€’ Chronic Myocardial Injury: End
Myocardial Injury - Elevated ... Diagnosis and Workup ... Algorithm β€’ ... Shock, Hypoxemia, Anemia ... Occlusion β€’ Stable
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
e.g AEIOU ) or anuria ... urgent nephrology evaluation ... PROBLEM ~80% of AKI cases ... CONSIDER INTRINSIC CAUSES ... KidneyInjury #simplified #workup
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... during medical evaluation ... or workup for specific ... for secondary causes ... eosinophilia (common causes
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... wt loss β€’ If anemia ... total body stores Evaluation ... have spuriously elevated ... low levels - Elevated
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... β€’ Immunologic Workup ... Discontinuation of causal ... Positive in 60-80% of cases ... sle #comparison #table
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
absent in severe cases ... arrest where other causes ... absent in severe cases ... tracheal tube. ❺ Elevate ... Diagnosis #Management #Workup
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... syndrome (IBS) sub-classifications ... of incomplete evacuation ... Subclassifications #Classes