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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Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
young or very old ... determine the type ... Dr. ... Hypernatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... β€’ Most common type ... water #Shock #Classification ... #Types #diagnosis ... #table
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
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
and 2, but not type ... periodic paralysis Dr ... Low #Potassium #Table ... #Classification ... #Causes
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Differential Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... pneumothorax Dr ... #Table #CriticalCare
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
What type of MNCD ... Alzheimer - 1st cause ... Dementia - 2nd cause ... angiopathy By Dr ... Differential #Subtypes #Classification
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
bones syndrome Dr ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 β€’ Epidemiology: -10% of all lupus cases, drug-dependent,
β€’ Immunologic Workup ... Discontinuation of causal ... β€’ Immunologic Workup ... Chronic disease Dr ... sle #comparison #table
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 ... throughout the day ... Subclassifications #Classes