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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Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• 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:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... Malnutrition • Protein-losing ... Differential #Diagnosis #Algorithm ... #Hepatology #causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Differential Diagnosis Algorithm ... syndrome • Protein-losing ... Pulmonary #Diagnosis #Algorithm ... #Hepatology #causes
Positive Lachman test in ACL Injury

Here is an exam of a patient under anesthesia with an
looseness of the knee during ... That causes the ... knee to buckle during ... clinical #video #PhysicalExam
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Müller's sign is the pulsation or bobbing of the uvula that occurs during systole.  It
uvula that occurs during ... Müller's sign is caused ... clinical #video #PhysicalExam
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Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... cardioversion Stable ... of reversible causes ... #Tachycardia #Algorithm
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... uncovered incidentally during ... for secondary causes ... eosinophilia (common causes ... Eosinophil #Disorders #Algorithm
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
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
increased blood volume during ... and other rarer causes ... Kussmauls #Sign #physicalexam
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Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
and sodium • Dosing ... binds magnesium • Dosing ... and calcium • Dosing ... hypokalemia); nausea ... #pharmacology #table