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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29 results
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign ... caused by a Retrosternal ... Elevating the arms causes ... superior vena cava syndrome ... #Pembertons #Sign
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Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
- Differential Diagnosis ... β€’ Cushing's Syndrome ... #Differential #Diagnosis ... #Algorithm #endocrinology ... #causes
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Rotator Cuff Syndrome ... Causes: Calcific ... supraspinatus tendinitis Signs ... Rotator #Cuff #Syndrome ... #orthopedics #diagnosis
Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Nikolsky's Sign ... Stevens-Johnson Syndrome ... Staphylococcal scalded skin syndrome ... , caused by the ... differentiating between the diagnosis
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Trousseau's Sign of Hypocalcemia on Physical Exam

Carpopedal spasm caused by ischemia induced by an inflated blood
Trousseau's Sign ... Carpopedal spasm caused ... #Trousseaus #Sign ... clinical #video #endocrinology
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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 ... Algorithm #Nephrology #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... SAME, Cushing Syndrome ... , Gitelman syndrom ... #Differential #Diagnosis ... #Algorithm #causes
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Cardiovascular and vital sign ... ucsdim #Serotonin #Syndrome ... Symptoms #spectrum #signs ... #diagnosis
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Faget's Sign & Liebermeister's ... BPM INFECTIOUS CAUSES ... β€’ Fever OTHER CAUSES ... #Fagets #Sign #Pulse ... #Dissociation #diagnosis
Acute Pharyngitis: Differential Diagnosis
Infectious:
 β€’ Respiratory viruses (25-45%)
 β€’ Group A Strep (5-15%)
 β€’ Other bacteria:
: Differential Diagnosis ... Acute Retroviral Syndrome ... Diffuse viral syndromes ... #Differential #Diagnosis ... #causes