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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113 results
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms causes ... superior vena cava syndrome ... #PhysicalExam #clinical ... neck #mass #SVC #Syndrome
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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 ... Nephritic #Nephrotic #Syndrome
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Aldosterone: Liddle's Syndrome ... SAME, Cushing Syndrome ... diuretics, Bartter syndrome ... , Gitelman syndrom ... Diagnosis #Algorithm #causes
Acute Pharyngitis: Differential Diagnosis
Infectious:
 β€’ Respiratory viruses (25-45%)
 β€’ Group A Strep (5-15%)
 β€’ Other bacteria:
Acute Retroviral Syndrome ... Diffuse viral syndromes ... PFAPA, Behcet syndrome ... Differential #Diagnosis #causes
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
Acute Coronary Syndrome ... Acute Coronary Syndrome ... : The Rational Clinical ... EBM #Diagnosis #Cardiology
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Rotator Cuff Syndrome ... Causes: Calcific ... Rotator #Cuff #Syndrome
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
Polycystic Ovarian Syndrome ... β€’ Cushing's Syndrome ... Insulin Resistance Syndrome ... Paraneoplastic Syndrome ... endocrinology #causes
Persistent Left Superior Vena Cava (PLSVC) Syndrome 

Dr. Kazi Ferdous @fazalabul

#PLSVC #Persistent #Left #Superior #VenaCava #Angiography
Vena Cava (PLSVC) Syndrome ... Angiogram #Venogram #Clinical ... #Fluoroscopy #Cardiology
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Etiology of Splenic Infarction:
 β€’ Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 β€’ Embolic disease: Atrial
Antiphospholipid syndrome ... Wandering spleen syndrome ... differential #diagnosis #causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... suggests extra-renal causes ... ↓ Aldosterone: Syndrome ... excess, Liddle's syndrome ... , Gitelman syndrome