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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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... , Gitelman syndrom ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... Defining the cause ... differential #diagnosis #algorithm ... #causes #nephrology
Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation
- Jaw Winking Syndrome ... Jaw-winking syndrome ... thought to be caused ... clinical #video #neurology ... #physicalexam #
β–Ί
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... (Many causes!) ... * (most common cause ... #diagnosis #neurology
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Extraocular #Movement ... ophthalmology #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Syndrome of Inappropriate ... #Hyponatremia #Nephrology ... #Causes
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Tea and Toast Syndrome ... failure, nephrotic syndrome ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... abnormal extraocular movements ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Hypophosphatemia - Differential Diagnosis Algorithm
 β€’ Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 β€’ Redistribution/
Differential Diagnosis Algorithm ... ), Hungry bone syndrome ... Differential #Diagnosis #Algorithm ... #causes #nephrology