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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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 ... #Atypical #ChestPain
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 ... and steroids +/- topical ... #Diagnosis #Ophthalmology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ 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
 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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
mucosa to severe topical ... retrosternal chest pain ... Diagnosis: - EGD ... retrosternal or back pain ... #management #gastroenterology