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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Raynaud's Syndrome - Washing off under hot water.
Raynaud phenomenon is an exaggerated vasoconstrictive response of the
Raynaud's Syndrome ... off under hot water ... #disease #phenomenon ... #clinical #video ... #rheumatology
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Raynaud's Syndrome - Washing off under hot water wath.

Raynaud phenomenon is an exaggerated vasoconstrictive response of
Raynaud's Syndrome ... off under hot water ... #disease #phenomenon ... #clinical #video ... #rheumatology
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Raynaud's Phenomenon on Physical Exam

#Raynauds #Syndrome #disease #phenomenon #clinical #video #physicalexam #fingers #hands #rheumatology
#Raynauds #Syndrome ... #disease #phenomenon ... #clinical #video ... #physicalexam #fingers ... #hands #rheumatology
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VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 β€’ Common Clinical Features: alveolitis, ear and
Clinical Syndrome ... : β€’ Common Clinical ... thromboembolic disease ... vasculitis β€’ Hematologic ... polyarteritis nodosa (12%
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... OD and counting fingers ... fasciculus), which causes ... The most common causes ... Three weeks later
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... β€’ Common Causes ... intrinsic factor, IF) Clinical ... to IBD, celiac disease ... large total body stores
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
HCO3)} Normal = 12 ... Delta: Delta = (AG-12 ... D D-lactate (short ... bowel syndrome, ... restrictive lung disease