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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Management of Benign Anorectal Disorders

Dyssnergic Defecation (DD)
Proctalgia Syndromes
Anal Fissures
Hemorrhoids
Fecal Incontinence

By Cynthia Tran, MD @EmoryGastroHep

#Anorectal #Disorders #Management
Management of Benign ... DD) Proctalgia Syndromes ... Disorders #Management #Benign ... Gastroenterology #diagnosis ... #Treatment
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Renovascular HTN, Renin ... , Gitelman syndrom ... #Differential #Diagnosis ... potassium #low #nephrology
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Unknown nature & benign ... Holmes-Adie Syndrome ... females Differential Diagnosis ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re disease,
- Labyrinth: Benign ... fistula, Cogan's syndrome ... Wallenberg syndrome ... #differential #diagnosis ... #neurology
Korsakoff Syndrome
Clinical Findings:
 β€’ Confabulation: Usually initial phase of the disease
 β€’ Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... Therefore, Korsakoff Syndrome ... Encephalopathy Treatment ... neudrawlogy #Korsakoff #Syndrome ... #neurology #diagnosis
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... Medications β€’ Benign ... Classification #diagnosis ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
↓ Aldosterone: Syndrome ... excess, Liddle's syndrome ... , Gitelman syndrome ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Tolosa-Hunt Syndrome
What?
 β€’ Unilateral orbital/retrobulbar pain
 β€’ Paresis of the cranial nerves Ill, IV, VI
 β€’
Tolosa-Hunt Syndrome ... or orbit (MRI) Treatment ... #Tolosa #Hunt #Syndrome ... #TolosaHunt #neurology ... #diagnosis
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Aldosterone: Cushing syndrome ... excess, Liddle syndrome ... , Gitelman syndrome ... differential #algorithm #diagnosis ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... , Gitelman's syndrome ... renovascular HT, Renin-secreting ... #differential #diagnosis ... algorithm #causes #nephrology