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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Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue ... fever encountered during ... a neurology consult ... PhysicalExam #ocular #clinical ... ophthalmology #dengue
β–Ί
Adult Vancomycin Guidelines
The information below provides general dosing guidelines for vancomycin. A maintenance regimen of 15-20
provides general dosing ... is the accepted dosing ... There is no clinical ... reference source and nephrology ... nephrotoxicity and acute
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Diagnosis Framework ... paraproteinemia, acute ... Insulin/Glucose, Acute ... Workup #phosphate #nephrology
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
β€’ Drug Fever CLINICAL ... Dengue Fever NOTE ... help hone your differential ... #Dissociation #diagnosis ... #differential #
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acute or chronic ... Compensation, Acute ... Diagnosis: Causes ... acetaminophen dosing ... #Summary #Nephrology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Fabry's disease, Acute ... Peripheral #Neuropathy #differential ... #diagnosis #causes ... #neurology
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Dizziness - Differential ... Diagnosis Framework ... dizzy without using ... Dizziness #dizzy #Differential ... #Diagnosis #neurology
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Generalized Weakness - Differential ... Diagnosis Framework ... Rhabdomyolysis, Critical ... #Diagnosis #causes ... #neurology
Toxidromes Compared: Anticholinergic, Cholinergic, Opioid, Sympathomimetic, Sedative-Hypnotic

During your physical exam, look for evidence of some of
Sedative-Hypnotic During ... further down) clinical ... features of acute ... #Diagnosis #Toxicology
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
weeks β€’ Typical clinical ... post-partum β€’ Typical clinical ... and hemorrhage Acute ... hepatitis #comparison #differential ... #diagnosis #icp