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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Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Algorithm Step ... Assess volume status ... considered likely, the cause ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Hyperparathyroidism classification
Different causes and features of hyperparathyroidism - raised parathormone (PTH).

#Diagnosis #Hyperparathyroidism #Differential #Primary #Secondary #Tertiary
Hyperparathyroidism classification ... Different causes ... Secondary #Tertiary #Comparison ... #Table #Classification
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
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... evaluation of macrocytic ... the most likely cause ... recovery also causes ... #Workup #AAFP
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
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 ... Positive in 60-80% of cases ... druginduced #lupus #sle #comparison ... #table #rheumatology
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
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... Leukopenia β€’ Cases ... bleeding: based on evaluation ... impaired mental state ... fever #severity #classification
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Hypercoagulable states ... in up to 30% of cases ... #Endocarditis #comparison ... Marantic #diagnosis #table
Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
Webber Ankle Injury Classification ... In more severe cases ... unstable and the talus ... appear to be a stable ... These injuries are caused