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

Observing this patient in silence for a
Existing case reports ... available case ... reports. ... The syndrome of ... #clinical #video
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Winged Scapula on Physical Exam

Common things being common just standard scapular winging, but this is more
thoracic /serratus ant ... believe this is case ... #PhysicalExam #clinical ... #video #sports ... #orthopedics #msk
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Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
sleeping as in this case ... to compression and ... #PhysicalExam #clinical ... #video #orthopedics ... #msk #sports #neurology
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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 ... measured using ELISA-based ... Raynaud's phenomenon ... -15% If SLE is clinically ... SLE-SSc-AlM overlap syndromes
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 ... bloodgas #Acid #Base
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 ... degeneration of dorsal 8 lateral ... large total body stores