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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Raynaud's Phenomenon on Physical Exam

#Raynauds #Syndrome #disease #phenomenon #clinical #video #physicalexam #fingers #hands #rheumatology
#Raynauds #Syndrome ... #disease #phenomenon ... fingers #hands #rheumatology
β–Ί
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Skeletal metastatic disease ... , Milk Alkali Syndrome ... , Viral Syndromes ... Granulomatous diseases ... Algorithm #Workup #nephrology
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 β€’ Common Clinical Features: alveolitis, ear and
Clinical Syndrome ... thromboembolic disease ... vasculitis β€’ Hematologic ... criteria for 1) hematologic ... Autoinflammatory #Somatic #rheumatology
Rheumatoid Arthritis - ACR 2021 Guidelines
 - Low Disease Activity
 - Moderate to High Disease Activity
Guidelines - Low Disease ... Moderate to High Disease ... ACR2021 #Guidelines #management ... #treatment #rheumatology
Raynaud's Syndrome - Washing off under hot water.
Raynaud phenomenon is an exaggerated vasoconstrictive response of the
Raynaud's Syndrome ... #Raynauds #Syndrome ... #disease #phenomenon ... fingers #hands #rheumatology
β–Ί
Raynaud's Syndrome - Washing off under hot water wath.

Raynaud phenomenon is an exaggerated vasoconstrictive response of
Raynaud's Syndrome ... #Raynauds #Syndrome ... #disease #phenomenon ... fingers #hands #rheumatology
β–Ί
Nail Findings & Associated Conditions
Change in color, texture, or shape can be harmless, but may suggest
underlying systemic disease ... β€’ Green Nail Syndrome ... β€’ Yellow Nail Syndrome ... differential #diagnosis #dermatology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Syphilis, Lyme disease ... Paraprotein-associated (POEMS syndrome ... Charcot-Marie-Tooth, Fabry's disease ... diagnosis #causes #neurology
Causes of Hypocomplementemia - CHAMPS Mnemonic
C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis
H - Heavy Chain deposition
Chain deposition disease ... antiphospholipid syndrome ... #differential #hematology
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
Liver Disease in ... necrosis HELLP Syndrome ... BrighamChiefs #Liver #Disease ... #Pregnancy #hepatology