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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diagnosis differential clinical video physicalexam nephrology causes respiratory sign breathing cord descent disease fingers hands hypokalemia laryngoscopy low paralysis phenomenon
Campbell’s sign or Tracheal Descent in Longstanding COPD Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... Tracheal #Descent #COPD ... #physicalexam #pulmonary
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 Hoover’s Sign on Physical Exam Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... clinical #video #pulmonary ... #COPD #respiratory
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 Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... #respiratory #pulmonary ... breathing #Trachea #COPD
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 Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... Nephritic #Nephrotic #Syndrome ... #Comparison #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... SAME, Cushing Syndrome ... diuretics, Bartter syndrome ... , Gitelman syndrom ... Differential #Diagnosis #Algorithm
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
(Hx of COPD, OSA ... Barter, or Gitelman Syndrome ... metabolic #alkalosis #algorithm
Ortner's (Cardiovocal) Syndrome - Left Vocal Cord Paralysis on Laryngoscopy A 42 yo presented with a hoarse
(Cardiovocal) Syndrome ... - Left Vocal Cord ... or cardiovocal syndrome ... #Cardiovocal #Syndrome ... #Vocal #Cord #Paralysis
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 Vocal Cord Paralysis on Bronchoscopy Bronchogenic carcinoma sometimes presents dysphonia as the first symptom. This patient complained
Vocal Cord Paralysis ... Note the vocal cord ... doencasdotorax #Vocal #Cord ... clinical #video #pulmonary
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 Cough - Diagnostic Schema Infectious: URTI, LRTI, Bacterial, Viral Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body Airway Disease:
Disease: Asthma, COPD ... #Differential #Algorithm
Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
Differential Diagnosis Algorithm ... Polycystic Ovarian Syndrome ... • Cushing's Syndrome ... Paraneoplastic Syndrome ... Differential #Diagnosis #Algorithm
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