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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6 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... Clinical confirmation ... #clinical #video ... #physicalexam #neurology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Losses: • Normal Acid-Base ... , Gitelman syndrom ... #Hypokalemia #Differential ... potassium #low #nephrology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... #clinical #video ... #physicalexam #neurology ... #Anisocoria
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Differentials? ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... ABG #bloodgas #Acid
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
weeks • Typical clinical ... Elevated bile acids ... necrosis HELLP Syndrome ... post-partum • Typical clinical ... hepatitis #comparison #differential
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
antimicrobials, clinical ... factors: - Serology ... antiphospholipid syndrome ... Endocarditis #diagnosis #differential