Dr. Gerald Diaz @GeraldMD
24.0M 13.9K 7.3K
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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Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
but nonspecific ECG ... WMAs support your case ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS ... #Echocardiogram
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Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • ... Clinical presentation ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... - Differential Diagnosis ... vasoconstriction (e.g ... inhibitors, hepatorenal syndrome ... #nephrology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... (Many causes!) ... • Infection (e.g ... Brain lesions (e.g ... #diagnosis #neurology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #Echocardiogram ... #A4c #clinical
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Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential #diagnosis ... #table #neurology
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
Clinicoradiological Findings → Clinical ... biopsy) e.g. ... Löfgren's syndrome ... and/or cytology (e.g ... of alternative causes
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS ... Non-ischemic EKG ... What's the Diagnosis ... Aortic #Aorta #Echocardiogram ... #PLAX #Clinical
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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... Anesthesia #Checklist #Diagnosis
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Caused commonly ... by: - drugs (e.g ... neurodegenerative disorders (eg ... #PhysicalExam #clinical ... #neurology #posture
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