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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Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
Physical Exam Paradoxical ... patient in severe COPD ... clinical #video #pulmonary ... #COPD #respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Descent Sign Paradoxical ... Seen in this COPD ... #respiratory #pulmonary ... breathing #Trachea #COPD
Opportunistic Infections in HIV/AIDS
Here's a little symptom-based guide to OIs in pts with HIV I made
Infections in HIV/AIDS ... Hemoptysis - Pulmonary ... Tenesmus - Spinal Cord ... Opportunistic #Infections #Diagnosis ... #HIV #AIDS #OIs
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
- Differential Diagnosis ... carcinoid, Mets), COPD ... #Differential #Diagnosis ... #pulmonary #causes
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
Hyperlipidemia • Cold ... coarse, thick, cold ... increased edema of lids ... Symptoms #Signs #Diagnosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... Classically” noted with pulmonary ... lung disease (COPD ... Interpretation #Diagnosis
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
polyp removal via cold ... CANNULA - Used to aid ... ESOPHAGO-GASTRO-DUODENOSCOPE - Diagnostic ... ENTEROSCOPE - Diagnostic ... COLONOSCOPE - Diagnostic