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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How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
brain w/o contrast ... Evaluate underlying cause ... Ruled out other causes ... stroke #workup #diagnosis ... #checklist #neurology
Common MRI Sequences - Basic MRI Brain Interpretation

 β€’ T1 Sequence - T1 is for anatomy.
Common MRI Sequences ... - Basic MRI Brain ... teachplaygrub #MRI ... #Sequences #Radiology ... Neuroradiology #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... β€’ Traumatic brain ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
- Compatible syndrome ... + MRI lesions + ... RingEnhancing #Lesions #Brain ... #causes #radiology ... #neurology
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 β€’ Os trigonum which has marrow
(Os Trigonum) Syndrome ... - MSK Radiology ... Case description ... longus Differential diagnosis ... #diagnosis #msk
Haglund Syndrome - MSK Radiology
Imaging Findings:
 β€’ The Haglund Deformity (enlarged superior margin calcaneal posterior process)
- MSK Radiology ... Case description ... Differential diagnosis ... Heel #clinical #mri ... #diagnosis #msk
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology
Imaging Findings:
 β€’ Ovoid hypointense structures along the bursal surface
Disease (HADD) - MSK ... Case description ... β€’ MRI shows globular ... show blooming on gradient-echo ... #diagnosis #msk
Leigh Syndrome 
History: 19-month-old girl with hypotonia, developmental 
delay, failure to thrive, and bilateral optic disc
Leigh Syndrome ... patterns (this case ... #Clinical #MRI ... #Brain #Diagnosis ... #Radiology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
The most common causes ... MRI was ordered ... the hospital, diagnosed ... with MS, and started ... ophthalmology #neurology
β–Ί
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Then, ask 3 questions ... demyelination syndrome ... #Treatment #management ... #nephrology #sodium