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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29 results
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Fitz-Hugh-Curtis syndrome ... Chylous <1% #Ascites ... #Differential # ... Diagnosis #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Differential ... • Budd-Chiari syndrome ... #Differential # ... Diagnosis #Algorithm #Hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... and hepatorenal syndrome ... portal HTN: • Ascites ... Diagnosis #causes #hepatology
External Snapping Hip Syndrome - Coxa Saltans

External snapping hip or coxa saltans: sliding of the iliotibial
External Snapping Hip Syndrome ... Snapping #Hip #Syndrome ... Iliotibial #clinical #video ... #physicalexam # ... msk #orthopedics
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Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
for Piriformis Syndrome ... #Piriformis #syndrome ... lumbar #clinical #video ... #physicalexam # ... msk #sports #orthopedics
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Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... Test #Piriformis #Syndrome ... #clinical #video ... #physicalexam # ... sciatica #msk #orthopedics
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Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
predispose to other orthopedic ... • Most common sites ... • Differentiate ... SickleCell #Disease #differential ... diagnosis #causes #hematology
Shifting Dullness to Percussion on Physical Exam to Detect Ascites

Dr. André Martin Mansoor @AndreMansoor

#Shifting #Dullness #Percussion
Exam to Detect Ascites ... Dullness #Percussion #PhysicalExam ... #Ascites #clinical ... #video #hepatology
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Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) - Differential ... thrombosis (Budd-Chiari syndrome ... cirrhosis - Nephrotic syndrome ... Albumin #Gradient #Differential ... #Diagnosis #hepatology
Tinel's Test for Tarsal Tunnel Syndrome

Perform a Tinel's over the tarsal tunnel, attempting to reproduce pain,
Tarsal Tunnel Syndrome ... Video via @open_michigan ... #ankle #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
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