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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18 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload β€œD Sign” EI
D-Sign on Ultrasound ... ” EI > 1 - POCUS ... #Ultrasound #echocardiogram ... #psax #diagnosis ... #cardiology #pocus
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
Cutaneous and Systemic ... Systemic Findings ... #Cutaneous #Systemic ... Dermatomyositis #Diagnosis ... #Rheumatology
Manifestations of IgG4-related disease by organ system.
 The most common primary disease features are indicated in
disease by organ system ... Disease #Organs #Systems ... #Diagnosis #Hematology ... #Signs #Symptoms
Systemic Sclerosis (Scleroderma)
Limited - CREST:
 β€’ Calcinosis
 β€’ Raynaud phenomenon
 β€’ Esophageal dysmotility
 β€’ Sclerodactyly
 β€’
Systemic Sclerosis ... @AnnKumfer #Systemic ... #Scleroderma #diagnosis ... #signs #symptoms ... #rheumatology
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... Notching - 60/60 Sign ... #diagnosis #Right ... #Ventricular #cardiology ... #POCUS
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for ... Ventricular Collapse - Systolic ... #Diagnosis #Evaluation ... #Cardiology #Effusion ... Echocardiogram #Ultrasound
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Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
weakness, less systemic ... heliotrope rash, Shaw sign ... , holster sign, ... /full triad at diagnosis ... #rheumatology
Metatarsal Gout on POCUS

Painful and swollen 1st metatarsal. Double contour sign. Diagnosis? Gout. 

Global Ultrasound Institute
Double contour sign ... Diagnosis? ... Global Ultrasound ... #clinical #rheumatology ... #ultrasound
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Systemic Lupus Erythematosus - Diagnosis
Manifestations:
 - Arthritis 69%
 - Malar rash 40%
 - Fever 36%
 -
Systemic Lupus Erythematosus ... - Diagnosis Manifestations ... Lupusreference #SLE #Systemic ... autoantibodies #signs ... #differential #rheumatology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... RJonesSonoEM #Systolic ... Echocardiogram #ultrasound ... #Cardiology #PLAX
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