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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Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Causes of Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Polyglandular Autoimmune Syndrome ... Surgery, Radiation, Medication ... #Causes #endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Causes of Adrenal Insufficiency ... Differential Diagnosis Algorithm ... Polyglandular autoimmune syndrome ... Polyglandular autoimrnune syndrome ... Radiation • Medication
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Testing Algorithm ... INDICATIONS FOR ... #diagnosis #algorithm ... #endocrinology
Hypocalcemia - Diagnosis and Management
PTH Independent (↑ PTH)
 • LOW VIT D
    -
Formation: Hungy Bone Syndrome ... Transfusions - Medications ... - DiGeorge Syndrome ... Diagnosis #Management #endocrinology ... #differential #algorithm
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
depletion - Medication ... Vertebrobasilar insufficiency ... Subclavian steal syndrome ... Alcohol blackout - Medication ... Classification #Table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Anaphylaxis, Adrenal Insufficiency ... Failure, Toxins/Medications ... Abdominal compartment syndrome ... #criticalcare #algorithm
Acromegaly Testing Algorithm
INDICATIONS FOR TESTING:
 • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... ARUPConsult @ARUPLabs #Acromegaly ... #Testing #Algorithm ... #diagnosis #endocrinology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Hypothyroidism, Adrenal Insufficiency ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table
Stepwise management of acute headache in the emergency department 

1) Metoclopramide 10 mg IV or prochlorperazine
All medication should ... mg IV. 3) If insufficient ... of the above medication ... therapy listed in Table ... Management #Stepwise #Algorithm
Antiphospholipid Syndrome (APLS) Testing - Hypercoagulable Workup Algorithm
INDICATIONS FOR TESTING:
 • Vascular thrombosis
Antiphospholipid Syndrome ... Hypercoagulable Workup Algorithm ... INDICATIONS FOR ... , or placental insufficiency ... Antiphospholipid #Syndrome