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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9 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... Diagnosis #Summary #Nephrology ... bloodgas #Acid #Base
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Glucose, Acute resp. alkalosis ... FEPO4 β‰₯ 5% - Renal ... Denosumab, Estrogen based ... Workup #phosphate #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
: Differential Diagnosis ... diuretics after renal ... diuretic effect has ... #Differential # ... Diagnosis #Causes #nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
to infections (HPV ... (Goodpasture's syndrome ... #Transplant #differential ... urine #management #treatment ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
investigations depending on clinical ... Abdominal compartment syndrome ... pressure β€’ TTP / HUS ... syndrome: troponin ... #Diagnosis #nephrology
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... States has bilat ... Differential Bilat ... /lung sliding: Pulmonary ... #clinical #ultrasound
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Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... albumin, trauma), Renal ... Shock #diagnosis #differential
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
receive proper treatment ... is no mainstay treatment ... the condition, case ... Ophthalmicus #HZO #clinical ... #physicalexam #neurology
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Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
severe RUQ pain, renal ... doubling of Cr), pulmonary ... patients β€’ HELLP: Syndrome ... diagnosis so have high clinical ... obstetrics #cardiology #differential