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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Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
WMAs support your case ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS ... WallMotionAbnormality #Coronary #Artery
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Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 β€’ Increases BP, SVR
 β€’ Risk of reflex bradycardia
and Inotropes - Pharmacology ... β€’ Higher doses cause ... kg/min): renal artery ... cAMP/cGMP β€’ Causes ... Summary #management #medications
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Hypothyroidism β€’ Medication-induced ... #differential #diagnosis ... #causes #neurology
Intern Pocket Cards - Inpatient Bowel Regimen Guide
Osmotic agents (draws water into bowel, thereby loosening stool
Polyethylene glycol - Nausea ... Magnesium citrate - Watery ... Guide #Inpatient #medications ... #constipation #pharmacology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... such as a carotid artery ... experience, the cause ... Horners #Syndrome #clinical ... #physicalexam #neurology
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Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
- Differential Diagnosis ... Rhabdomyolysis, Critical ... #Differential #Diagnosis ... #causes #neurology
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
Hypothyroidism is a clinical ... hormones, with varied clinical ... belly that occurs after ... reflex hammer, caused ... #video #neurology
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
patient presented to clinic ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... gastric acidity, medications ... intrinsic factor, IF) Clinical ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
etiology found after ... antimicrobials, clinical ... but important causes ... BCNIE Diagnostic ... #Endocarditis #diagnosis