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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12 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... intake β€’ Metabolic ... Renal Losses: β€’ Metabolic ... Diagnosis #Algorithm #causes ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... consumption β€’ Low ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... Diagnosis #Summary #Nephrology ... Base #Gas #VBG #differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Normal/low ... , Gitelman syndrome ... the indicated causes ... urine #Algorithm #nephrology ... #differential #
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... or induced by treatment ... how the right pupil ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
non-specific, ESR usually low ... Goodpasture's cause ... , low grade proteinuria ... #differential # ... diagnosis #management #treatment
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Caused commonly ... Treatment: anticholinergics ... pleurothotonus #PhysicalExam ... #clinical #neurology ... #posture #video
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Metabolic Causes of Kidney Stones in Children
 β€’ Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
Metabolic Causes ... type 1-4, Lowe ... #Causes #Kidney ... Stones #pediatrics #nephrology ... #differential #
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
other potential causes ... receive proper treatment ... HZO #clinical #video ... ophthalmology #physicalexam ... #neurology
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