GeraldMD - GrepMed

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Dr. Gerald Diaz @GeraldMD

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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins

Pemberton's Sign caused ... previously flat neck ... Thyroid #Goiter #PhysicalExam ... #clinical #video ... #vascular #neck

Spurling's Test for Cervical Nerve Root Compression

With the neck in slight extension, ipsilateral flexion and rotation,

Compression With the neck ... Radiculopathy #clinical ... #video #physicalexam ... #orthopedics #sports ... #neck #compression

Nail diseases and disorders.
- Spoon Nails (Koilonychia)
- Pitting of Nails
- Beau's Lines
-

Nail diseases and ... disorders ... Leukonychia (white spots ... Leukonychia #Table #Clinical ... #PhysicalExam

Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1

month following neck ... lesions within the neck ... experience, the cause ... #clinical #video ... ophthalmology #physicalexam

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 ... #AcidBase #disorders

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

Observing this patient in silence for a

Existing case reports ... The syndrome of ... The cause of this ... Alternating #Bilateral #clinical ... ophthalmology #physicalexam

Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
• Lymphocytes accumulate in large numbers

adults in the west ... Orange or Hep C Clinical ... cells can indicate disease ... lymphoproliferative disorders ... • Richter’s Syndrome

Vitamin B12 (Cobalamin) Deficiency
Etiology:
• Vit B12 - aka cobalamin. Present in foods derived from animal

• Common Causes ... dysfunction, and/or disorders ... intrinsic factor, IF) Clinical ... to IBD, celiac disease ... large total body stores

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