Dr. Gerald Diaz @GeraldMD
23.7M 13.8K 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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12 results
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M • Clinical ... • Immunologic Workup ... • Immunologic Workup ... #rheumatology #diagnosis ... #management
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
(video). ... the underlying diagnosis ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical
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Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE) - Diagnosis ... 40, F:M 9:1 • Clinical ... of SLE versus DIL ... • Immunologic Workup ... of SLE • Evolution
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
demonstrated in the video ... Most likely diagnosis ... the underlying cause ... #PhysicalExam # ... Clinical #Video
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Kussmaul's Sign on Physical Exam

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

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What’s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
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Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video
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Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... is identified (video ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
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Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... Assessment • Clinical ... Fibrinogen level, ↑ sIL ... inhibitors under evaluation ... #management #treatment
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Evaluation Guide ... Cardiac: multiple case ... (CRP, D-dimer, IL ... #Guide #Diagnosis ... #Algorithm #Protocol
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
The probable cause ... senior on-call / dial ... delegate task of evaluating ... Intraoperative #Checklist #Diagnosis ... #Management #Workup