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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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... cause of AVS and ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Etiologies of Peripheral ... @uncimchiefs #Peripheral ... #differential #diagnosis ... #causes #neurology
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
WMAs support your case ... UltrasoundJelly #Clinical #Diagnosis ... #POCUS #Echocardiogram ... WallMotionAbnormality #Coronary #Artery
β–Ί
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
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Resistance, Main Uses ... , Peripheral Safety ... Properties #Table #Pharmacology ... #Effect #Management
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 ... surgery; as in our case ... #physicalexam #neurology
β–Ί
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
31 β€’ First US case ... emergency 2020-3-12 Diagnosis ... hazy bilateral peripheral ... unilateral* β€’ POCUS ... #Management #Summary
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... findings, HSM, LN, peripheral ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis ... #management #nutrition