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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Positive Lachman test in ACL Injury

Here is an exam of a patient under anesthesia with an
Positive Lachman test ... That causes the ... Positive #ACLTear #clinical ... #video #PhysicalExam ... cruciate #ligament #msk
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Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... grip weakness caused ... #Nerve #Palsy #clinical ... video #neurology #physicalexam ... #msk #orthopedics
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POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Ratio Step 1: Clinical ... with a focused clinical ... probability based on clinical ... #ultrasound #management ... #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
help and inform clinical ... • Diagnostic ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... #PhysicalExam # ... clinical #video ... #msk #PIP
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Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
alternating light test ... very sensitive diagnostic ... regarding the cause ... Defect #Neurology #Clinical ... Pupils #MacrusGunn #PhysicalExam
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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 ... maintained fever CAUSES ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... agglutination - test ... #treatment #management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Finger deformity caused ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK