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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21 results
Shark Tail Appearance of Consolidated Lung on Pleural Effusion on POCUS

Dr. David Feller-Kopman @dfellerk

#Pleural #Effusion #pulmonary
of Consolidated Lung ... on Pleural Effusion ... on POCUS Dr. ... Effusion #pulmonary #Lung ... #POCUS #clinical
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Plankton Sign on Lung POCUS

Plankton sign = floating debris --> the swirling, punctiform internal echoes within
Plankton Sign on Lung ... POCUS Plankton ... otherwise anechoic pleural ... Plankton #Sign #Lung ... #POCUS #clinical
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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 ... Comparison #Algorithm #Nephrology ... #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... , Gitelman syndrom ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... the apex of the lung ... experience, the cause ... #clinical #video ... #physicalexam #neurology
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Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Paraprotein-associated (POEMS syndrome ... #differential #diagnosis ... #causes #neurology
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 ... , Gitelman syndrome ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... D-lactate (short bowel syndrome ... or restrictive lung ... Interpretation #Diagnosis ... #Summary #Nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
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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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