Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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causes algorithm workup hepatology aki comparison hypophosphatemia kidney management rheumatology aflp albumin anemia arthritis ascites calcium classification clinical comatose disease
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Diagnosis Framework ... paraproteinemia, acute ... • Normal or Low ... Workup #phosphate #nephrology
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup - Differential ... Diagnosis Algorithm ... Hyperphosphatemia, Acute ... metastases, Hungry bone syndrome ... #nephrology #calcium
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Diagnosis Algorithm ... Appropriately Low ... , Acute Respiratory ... #nephrology #phosphorus
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Kidney Injury AKI - Differential ... Diagnosis HEMODYNAMIC ... Impaired forward flow ... inhibitors, hepatorenal syndrome ... #Diagnosis #nephrology
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... B-Cell ~90% • Low ... Treated Like Acute ... pathophysiology #Hematology ... #differential #
Diagnostic Framework for Anemia (Morphological Approach - MCV) Low MCV - <80fL - "Microcytic" • Iron deficiency
Approach - MCV) Low ... kidney disease, Acute ... Myelodysplastic syndrome ... morphologic #mcv #differential ... #hematology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Diagnosis Baseline ... clinical context and signs ... • Cardio-renal syndrome ... #Diagnosis #nephrology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... • Cirrhosis/acute ... #Diagnosis #causes ... #hepatology
Inflammatory Myopathies Dermatomyositis • Onset: Subacute • Pattern: Proximal • CK: Up to 50X ULN • Autoantibodies:
heliotrope, shawl sign ... Myositis • Onset: Acute ... Onset: Insidious/slow ... Inflammatory #Myopathies #differential ... #rheumatology #
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
- ACS, AKI, acute ... WBC >100k, + lab signs ... , Elevated Cr, Low ... #TLS #diagnosis ... #management #hematology
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