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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Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 β€’ Os trigonum which has marrow
Trigonum) Syndrome - MSK ... β€’ MRI: Posterolateral ... hallucis longus Differential ... torn ligament on MRI ... Radiology #diagnosis #msk
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Upper motor neuron lesion ... In detecting CT/MRI ... 9.2, LR- 0.09 Best ... test characteristics
Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
Piriformis Test ... (FAIR Test - Flexion ... sciatic / gluteal region ... is a positive test ... #physicalexam #msk
β–Ί
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 β€’ Arrows identifying the characteristic edema-like signal
) - MSK Radiology ... repeated follow-up MRI ... (save $$) Differential ... #clinical #mri ... Radiology #diagnosis #msk
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
Ring-Enhancing Lesions ... Ring-Enhancing Lesions ... Compatible syndrome + MRI ... lesions + toxo ... #Brain #differential
Diagram of different types of bone tumors that can occur around the knee on XRay -
- punched out lesions ... β€’ Aggressive lesion ... Diagnosis #Bony #Differential ... Radiology #XRay #msk ... #lesions #adult
Diagram of different types of bone tumors that can occur around the knee on XRay -
other aggressive lesion ... Diagnosis #Bony #Differential ... peds #pediatrics #msk ... #lesions #adult
Nipple Discharge - Galactorrhea - Differential Diagnosis Algorithm

↑ TSH - Primary hypothyroidism
↑ ß-HCG - Pregnancy
↑ Creatinine
Galactorrhea - Differential ... Diagnosis Algorithm ... renal failure MRI ... #Galactorrhea #Differential ... #Diagnosis #Algorithm
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... Findings in Stroke MR ... acute ischemic lesion ... it possible to differentiate ... #Evolution #MRI
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Urine Free by LC-MS ... Hormone β€’ MRI ... Syndrome #diagnosis #algorithm