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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Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 β€’ Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... Bilateral Unilateral ... Fevers β€’ Eye pain ... #Differential #Diagnosis ... #Causes #ophthalmology
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Serotonin Syndrome β€’ Ophthalmologic ... bowel sounds, RUQ pain ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
by significant pain ... , pain with eye ... -Management of scleritis ... involves ophthalmology ... #Diagnosis #Ophthalmology
Lateral Canthotomy / Cantholysis - Procedure Instructions

The orbit is a relatively closed compartment and an acute
Lateral Canthotomy ... #Management #Lateral ... Retrobulbar #Hemorrhage #Ophthalmology
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
Coronary Syndrome - Diagnostic ... Patient With Chest Pain ... #EBM #Diagnosis ... AcuteCoronarySyndrome #Symptoms #Signs
Acute Monocular Vision Loss - Differential Diagnosis Framework
 β€’ Cornea: Keratitis
 β€’ Anterior Chamber: Hyphema, Acute
- Differential Diagnosis ... visual loss will be bilateral ... #Differential #Diagnosis ... #ophthalmology
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Intermittent Bilateral ... Patient underwent a diagnostic ... this patient- bilateral ... #Alternating #Bilateral ... clinical #video #ophthalmology
β–Ί
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, β€œLike
- Symptoms and Signs ... β€’ Weight gain ... β€’ Thinning of lateral ... Hyperthyroid #Symptoms #Signs ... #Diagnosis #endocrinology
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
emergency 2020-3-12 Diagnosis ... β€’ CXR: hazy bilateral ... *rarely may be unilateral ... COVID19 #Cheatsheet #Diagnosis ... #Management #Summary
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 β€’ Rest angina attributed to coronary artery vasospasm.
 β€’ Patients often
anginal chest pain ... tolerance β€’ Pain ... troponin elevation Diagnosis ... Angina #cardiology #diagnosis ... #management