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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Pacemaker Coding Terminology
#Diagnosis #Cardiology #PPM #Pacemaker #LetterCode #Coding #Classification #Table #CoreEM
Pacemaker Coding ... Pacemaker #LetterCode #Coding ... #Classification ... #Table #CoreEM
The first three letters refer to chamber paced, chamber sensed, and response to sensed events. The
Pacemaker #LetterCode #Coding ... #Classification ... #Table
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Differential Diagnosis Algorithm ... syndrome β€’ Protein-losing ... Pulmonary #Diagnosis #Algorithm ... #Hepatology #causes
Jugular Waveform Components 
 β€’ a wave - due to atrial contraction: It occurs just before
β€’ c wave - caused ... tricuspid valve closing ... the right atrium during ... y descent - is caused ... Waveforms #JVP #PhysicalExam
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... Malnutrition β€’ Protein-losing ... Differential #Diagnosis #Algorithm ... #Hepatology #causes
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
and sodium β€’ Dosing ... binds magnesium β€’ Dosing ... and calcium β€’ Dosing ... hypokalemia); nausea ... #pharmacology #table
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing ... Buprenorphine #Treatment #Algorithm
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
(eye moving up intorts ... , eye moving down ... direction; the eye moving ... ophthalmology #clinical ... #eye #ocular #PhysicalExam
β–Ί
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
thyroid goiters caused ... by iodine deficiency ... Thyroid #Goiter #PhysicalExam ... #iodine #deficiency ... endocrinology #clinical
β–Ί
CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen
10-point scale, using ... similar to APGAR: Crying ... distress and breath-holding ... 1995) CRIES (Table ... in the ED, the clinician