Dr. Gerald Diaz @GeraldMD
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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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27 results
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign ... caused by a Retrosternal ... #Pembertons #Sign ... Thyroid #Goiter #PhysicalExam ... #clinical #video
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Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Stevens-Johnson Syndrome ... , caused by the ... differentiating between the diagnosis ... #Dermatology #PhysicalExam ... #Video #Clinical
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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... hyperthermia crisis (late sign ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... What’s the diagnosis ... and other rarer causes ... #physicalexam # ... clinical #video
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Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... Video #Clinical
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Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN) - See Updated MP4 Clip Here: https://www.grepmed.com/images/6837

Nikolsky's sign is
Stevens-Johnson Syndrome ... Staphylococcal scalded skin syndrome ... , caused by the ... differentiating between the diagnosis ... #Video #Clinical
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Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
- Tumor lysis syndrome ... #Differential #Diagnosis ... High #Magnesium #Table ... #Causes #Management
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 ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video
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Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
β€’ Diagnostic ... examination and vital signs ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... abdominal compartment syndrome ... limit them as able ... #Pancreatitis #Checklist ... #Diagnosis #Management