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 ... (e.g., in the fingers ... #Raynauds #Syndrome ... #disease #phenomenon ... #clinical #video
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Raynaud's Syndrome - Washing off under hot water wath.

Raynaud phenomenon is an exaggerated vasoconstrictive response of
Raynaud's Syndrome ... (e.g., in the fingers ... #Raynauds #Syndrome ... #disease #phenomenon ... #clinical #video
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Raynaud's Phenomenon on Physical Exam

#Raynauds #Syndrome #disease #phenomenon #clinical #video #physicalexam #fingers #hands #rheumatology
Raynaud's Phenomenon ... Physical Exam #Raynauds ... #Syndrome #disease ... #phenomenon #clinical ... #physicalexam #fingers
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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... D D-lactate (short ... bowel syndrome, ... restrictive lung disease ... ABG #bloodgas #Acid
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... patient presented to clinic ... OD and counting fingers ... fasciculus), which causes ... The most common causes
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Antinuclear antibodies and Systemic lupus
Anti-dsDNA	60-80%	Association with disease activity (when with Farr assay) and lupus nephritis. Can
Association with disease ... with MCTD and Raynaud's ... -15% If SLE is clinically ... SLE-SSc-AlM overlap syndromes ... with auto-immune diseases
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
Liver Disease in ... weeks β€’ Typical clinical ... Elevated bile acids ... necrosis HELLP Syndrome ... BrighamChiefs #Liver #Disease
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Existing case reports ... reports. ... The syndrome of ... The cause of this ... Alternating #Bilateral #clinical
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... intrinsic factor, IF) Clinical ... to IBD, celiac disease ... large total body stores
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
antimicrobials, clinical ... but important causes ... antiphospholipid syndrome ... exists Infectious Diseases