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, Signs ... obstruction to blood flow ... DrEricStrong #Shock #Differential ... #Table #CriticalCare ... #Findings #Comparison
Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
Syncope - Findings, Signs ... #Syncope #Differential ... #Table #CriticalCare ... #Sign #Symptoms ... #Findings #Comparison
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... type 4) - Salt wasting ... #Diagnosis #Low ... #Potassium #Table ... #Classification
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Algorithm INDICATIONS ... uncovered incidentally during ... organ-specific signs ... Eosinophil #Disorders #Algorithm ... #Differential #
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Familial renal Mg wasting ... Hypomagnesemia #Differential ... #Diagnosis #Low ... #Magnesium #Table ... #Classification
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Cerebral Salt Wasting ... #Hyponatremia #differential ... #diagnosis #table
Inflammatory Myopathies
Dermatomyositis
 β€’ Onset: Subacute
 β€’ Pattern: Proximal
 β€’ CK: Up to 50X ULN
 β€’ Autoantibodies:
heliotrope, shawl sign ... Onset: Insidious/slow ... Inflammatory #Myopathies #differential ... #diagnosis #comparison ... #rheumatology #table
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Fluid Tolerance Testing ... Averages blood flow ... precede other signs ... Responsiveness #Tolerance #testing ... #criticalcare #comparison
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 β€’ Polysaccharide cell wall component of many fungi
 β€’ Pathogens:
membranes synthetic now ... BAL GM does not differentiate ... Frozen ice-pops (in setting ... Sara Dong #Fungal ... Galactomannan #diagnosis #comparison