Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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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
 β€’ Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes β€’ ... Clinical presentation ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ 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!) ... β€’ Infection (e.g ... Brain lesions (e.g ... #diagnosis #neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-BarrΓ© syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential #diagnosis ... #table #neurology
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings β†’ Clinical diagnosis (without biopsy) e.g. LΓΆfgren's syndrome
Suggestive
Clinicoradiological Findings β†’ Clinical ... biopsy) e.g. ... LΓΆfgren's syndrome ... and/or cytology (e.g ... of alternative causes
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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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... (e.g. haloperidol ... Anesthesia #Checklist #Diagnosis
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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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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