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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Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... and Symptoms by Classification ... obstruction to blood flow ... ) Dr. ... #Table #CriticalCare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... exacerbation (any cause ... obstruction to blood flow ... pneumothorax Dr ... #Table #CriticalCare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
shins and up), dry ... - Low CO and therefore ... #Classification ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
shins and up), dry ... - Low CO and therefore ... #Classification ... #differential #causes ... #classification
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... Ca++ (<100 mg/day ... FeCa <1 %) - Low ... #workup
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... suggests extra-renal causes ... consumption β€’ Low ... Distal RTA, DKA Dr
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Algorithm Step ... considered likely, the cause ... determined Dr ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
bones syndrome Dr ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
urgent nephrology evaluation ... : Hypovolemia, Low ... CONSIDER INTRINSIC CAUSES ... minimize culprit - Dr ... KidneyInjury #simplified #workup
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Differential Diagnosis Algorithm ... Low intake ... paralysis Dr ... Differential #Diagnosis #Algorithm ... #Causes #Classification