Dr. Gerald Diaz @GeraldMD
30.8M 13.9K 7.3K
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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115 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... lung disease (COPD
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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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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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
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
Raynaud's Syndrome - Washing off under hot water.
Raynaud phenomenon is an exaggerated vasoconstrictive response of the
Raynaud's Syndrome ... and/or toes) to cold ... #Raynauds #Syndrome
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Opportunistic Infections in HIV/AIDS
Here's a little symptom-based guide to OIs in pts with HIV I made
Hemoptysis - Pulmonary ... Tenesmus - Spinal Cord