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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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... water #Shock #Classification ... #Types #diagnosis ... #table
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
4) - Salt wasting ... periodic paralysis Dr ... Low #Potassium #Table ... #Classification ... #Causes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Causes of Hyporeflexia ... Late ALS - Dr ... Hyperreflexia #Testing ... #diagnosis #table
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Diagnostic Evaluation Algorithm ... young or very old ... determine the type ... Dr. ... Hypernatremia #Diagnosis #Workup
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
therapy - Number one cause ... negative IE - Could ... - Could this ... Histopathology Dr ... Diagnosis #Management #Algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Familial renal Mg wasting ... bones syndrome Dr ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • 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
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
e.g. pneumonia, COPD ... Cerebral salt wasting ... toast” diet Dr ... Differential #Diagnosis #Table ... #Causes #Sodium
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Ext: warm vs. cold ... shins and up), dry ... EmmGeezee #Shock #Classification ... #differential #causes ... #classification