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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18 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... β€’ Normal Acid-Base ... , Gitelman syndrom ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes
Plankton Sign on Lung POCUS

Plankton sign = floating debris --> the swirling, punctiform internal echoes within
Plankton Sign on ... Lung POCUS Plankton ... sign = floating ... #Plankton #Sign ... #Lung #POCUS #clinical
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Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign ... caused by a Retrosternal ... Elevating the arms causes ... #Pembertons #Sign ... #PhysicalExam #clinical
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Laceration bleeding into a water bath on POCUS

Laceration bleeding into a water bath! Taking name suggestions.
water bath on POCUS ... Cheese whiz sign ... Cotton @SonoMojo In case ... we didn't scan long ... #clinical #ultrasound
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Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Faget's Sign & Liebermeister's ... β€’ Drug Fever CLINICAL ... help hone your differential ... #Fagets #Sign #Pulse ... Dissociation #diagnosis #differential
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS ... #vascular #clinical
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Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
is a clinical dermatological ... Stevens-Johnson Syndrome ... Staphylococcal scalded skin syndrome ... , caused by the ... PhysicalExam #Video #Clinical
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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Differentials? ... D-lactate (short bowel syndrome ... or restrictive lung ... bloodgas #Acid #Base
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... the apex of the lung ... experience, the cause ... surgery; as in our case ... #clinical #video
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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
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