Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis differential comparison management aldosterone anaphylaxis anesthesia anesthesiology bloodsmear borrelia cardiology checklist druginduced echocardiogram gsv hypoaldosteronism hypokalemia hypomagnesemia hypomg hyponatremia
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
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
- Anorexia GI Losses ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Etiologies of Hypoaldosteronism Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone) - Diabetic Nephropathy - NSAIDs Non-Hyporeninemic Hypoaldosteronism (Normal
Hypoaldosteronism (Low ... or High Renin, Low ... insufficiency - Critical ... Aldosterone #Comparison #Table ... #Causes
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... to 1:1 F:M • Clinical ... in >90% - Low ... Positive in 60-80% of cases ... sle #comparison #table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... can be high or low ... Uosm <100): Renal Losses ... differential #diagnosis #table
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
the body louse, causes ... Northeast Africa with cases ... Several cases have ... The table below ... microscopy #pathology #clinical
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
absent in severe cases ... arrest where other causes ... absent in severe cases ... as patient is stable ... Diagnosis #Management #Workup
Intracardiac Rhabdomyomas on Echocardiogram Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Huge cardiac masses ... Anguished face but clinically ... completely stable ... Echocardiogram #clinical ... #cardiology #pocus
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 Greater Saphenous Vein Thrombosis on POCUS Pt-leg pain/redness/swelling. Proximal TRV image. Diagnosis: Greater Saphenous Vein Thrombosis without
Thrombosis on POCUS ... How would you treat ... hemodynamically stable ... into the CFV and cause ... #clinical #ultrasound
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