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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Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
The syndrome of ... The cause of this ... lymphangiomas are the cause ... Alternating #Bilateral #clinical ... #physicalexam #Respiratory
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Acute Pharyngitis: Differential Diagnosis
Infectious:
 β€’ Respiratory viruses (25-45%)
 β€’ Group A Strep (5-15%)
 β€’ Other bacteria:
Infectious: β€’ Respiratory ... Acute Retroviral Syndrome ... Diffuse viral syndromes ... PFAPA, Behcet syndrome ... Differential #Diagnosis #causes
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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Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
Protocol Acute Respiratory ... Distress Syndrome ... NIH NHLBI ARDS Clinical
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Platypnea-Orthodeoxia Syndrome ... Physical Exam The case ... observe how the respiratory ... #PhysicalExam #clinical ... video #breathing #respiratory
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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Respiratory or Metabolic ... D-lactate (short bowel syndrome ... Acetazolamide Causes ... of Respiratory ... of Respiratory
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
Hoover's sign on Physical Exam
Paradoxical retraction of the lower intercostal spaces on inspiration
Pulmonary hyperinflation β†’ flattening
this occurs, the inspiratory ... #PhysicalExam #Clinical ... Video #Breathing #Respiratory
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Paradoxical Respirations in Acute Respiratory Failure on Physical Exam

- Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Respirations #Breathing #Respiratory
Respirations in Acute Respiratory ... Respirations #Breathing #Respiratory ... #PhysicalExam #clinical
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