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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8 results
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
GI - glossitis (pain ... of tongue), abd pain ... consider other diagnosis ... #Deficiency #diagnosis ... #management #nutrition
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Serotonin Syndrome • 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
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
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... Fevers • Eye pain ... #Differential #Diagnosis ... Bilateral #Causes #ophthalmology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
anginal chest pain ... tolerance • Pain ... troponin elevation Diagnosis ... Angina #cardiology #diagnosis ... #management
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
- Symptoms and Signs ... • Weight gain ... Hyperthyroid #Symptoms #Signs ... #Diagnosis #endocrinology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
retrosternal chest pain ... Diagnosis: - EGD ... retrosternal or back pain ... Esophageal #Necrosis #diagnosis ... #management #gastroenterology