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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49 results
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 ... #orthopedics #diagnosis ... #sports #MSK #anatomy
This is what a shoulder dislocation looks like on US before and after reduction. Focus on
Focus on the joint ... Ghali @EM_RESUS #Clinical ... #POCUS #MSK #Shoulder
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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 ... Algorithm #Nephrology #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... SAME, Cushing Syndrome ... , Gitelman syndrom ... #Differential #Diagnosis ... #Algorithm #causes
POCUS Reference Measurements
 β€’ Gallbladder
 β€’ Urinary Bladder
 β€’ GI Tract
 β€’ Pregnancy
 β€’ Optic Nerve
POCUS Reference ... Optic Nerve β€’ MSK ... sspillai01 #POCUS ... Echocardiogram #Diagnosis
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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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... for underlying cause ... Jugular #IJ #Vein #POCUS ... #vascular #clinical
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Acute Pharyngitis: Differential Diagnosis
Infectious:
 β€’ Respiratory viruses (25-45%)
 β€’ Group A Strep (5-15%)
 β€’ Other bacteria:
: Differential Diagnosis ... Acute Retroviral Syndrome ... Diffuse viral syndromes ... #Differential #Diagnosis ... #causes
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
- Differential Diagnosis ... Polycystic Ovarian Syndrome ... β€’ Cushing's Syndrome ... #Differential #Diagnosis ... endocrinology #causes
Talus Fracture on POCUS
Athlete with hard landing on one foot, pain and tenderness over dorsum of
Talus Fracture on POCUS ... POCUS showed talus ... Talus #Fracture #POCUS ... #clinical #ultrasound ... #MSK #ankle
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