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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43 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... allopurinol), Infection ... DAH, rule out infection ... #differential # ... diagnosis #nephrology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Urinothorax Exudate - Infectious ... Malignancy β€’ Pulmonary ... Gastrointestinal disease
Hemoptysis - Differential Diagnosis Framework
Airways: 
 β€’ Bronchitis
 β€’ Bronchiectasis
 β€’ Malignancy: Primary bronchogenic CA, Endobronchial
Hemoptysis - Differential ... Parenchyma: β€’ Infection ... , Idiopathic pulmonary ... β€’ Valvular Disease ... #causes
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases ... , CNS Disease, Meds
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
Diagnosis- Compatible syndrome ... multiple lesions Infectious ... Lesions #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Common causes of ... Kidney Injury AKI - Differential ... inhibitors, hepatorenal syndrome ... Post-infectious ... #Diagnosis #nephrology
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Respiratory Failure - Differential ... respiratory drive due to neurologic ... obesity-hypoventilation syndrome ... Interstitial lung diseases ... hepatopulmonary syndrome
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Chemotherapy β€’ Infectious ... Paraprotein-associated (POEMS syndrome ... Peripheral #Neuropathy #differential ... #diagnosis #causes ... #neurology
Causes of Neuromuscular Weakness
 β€’ Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease ... heavy metals), Critical ... #differential # ... diagnosis #neurology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Disease Associations ... Advanced kidney disease ... Urinary tract infections ... Fatty - Nephrotic syndrome ... #Differential #