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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12 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
etiology of coma Abnormal ... flexion withdrawal, abnormal ... decortication), abnormal ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... middle finger. 2) Ask ... Hoffmanns #Sign #Reflex ... #Positive #Abnormal ... video #neurology #PhysicalExam
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Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Bunnel-Littler PIP Joint Test ... joint capsule cause ... BunnelLittler #Test ... #PhysicalExam # ... clinical #video #msk
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Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... An abnormal response ... #Reflex #neurology ... clinical #video #physicalexam ... #orthopedics #msk
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Patellar dislocation 
Patella dislocation refers to when the kneecap is completely displaced out of its normal
Patellar dislocation ... displaced out of its normal ... patella is primarily caused ... Clinical #Video #PhysicalExam ... Orthopedics #Knee #msk
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Hippocratic Shoulder Reduction 
Shoulder reduction is the process of returning the shoulder to its normal position
shoulder to its normal ... following a shoulder dislocation ... In cases where closed ... Shoulder #Reduction #MSK ... #PhysicalExam #
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Extreme Patellofemoral Joint Instability (PFJI)

In this video you can see an extreme rare case of bilateral
an extreme rare case ... acute patellar dislocations ... involves several abnormal ... Clinical #Video #PhysicalExam ... Orthopedics #Knee #msk
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Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... an underlying cause ... exogenous, EPO levels: normal ... Best to have an ... Differential #Diagnosis #Algorithm
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Incidence: 1 to 2 cases ... depressed deep tendon reflexes ... protein with a normal ... albuminocytologic dissociation ... and sensitive tests
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Posterior Knee Dislocation ... : ~25% cases. ... rule out based on normal ... nerve injury (25%) TEST ... Posterior #Injury #msk
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