Dr. Gerald Diaz @GeraldMD
23.1M 13.7K 7.2K
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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Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
opioids for pain management ... indication #Management ... Indications #Pathways #Table ... #MSK #Migraine
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
rises from the table ... rise from the table ... clinical #video #physicalexam ... #sports #msk #orthopedics
β–Ί
Clay-Shoveler Fracture 
 - Avulsion fracture of spinous process of C6 or C7 (Stable fracture)
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process of C6 or C7 (Stable ... Fracture #Diagnosis #MSK ... #Radiology #Cervical ... SpinousProcess #MSK
Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Pharmacology #Comparison #Table ... Thiazide #CHF #Cardiology ... #Management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... patients with Stable ... evaluation or management ... ChestPain #Diagnosis #Management ... #Algorithm #Cardiology
Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
rises off the table ... #Contracture #PhysicalExam ... video #sports #msk
β–Ί
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
listed in the table ... #Management #Radiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
β€’ If stable ... β€’ Nonoperative managernent ... Forearm #Ulnar #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Proximal #MSK
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
view ankle 0.0015 mSv ... view chest 0.02 mSv ... cystogram 0.18 mSv ... #PatientInfo #Radiology ... Nuclear #Comparison #Table
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (β‰₯ 3 episodes of VT/ICD therapies
Algorithm for the Management ... cardioversion Stable ... Tachycardia #Algorithm #Management ... VTach #diagnosis #management ... #morphology #cardiology