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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12 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... β€’ ED Management ... #TerryThomas #Wrist ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
On lateral wrist ... injury β€’ ED Management ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
Left Wrist Drop ... sleeping as in this case ... #Nerve #Palsy #PhysicalExam ... #orthopedics #msk ... #sports #neurology
β–Ί
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... injuries: Perilunate dislocation ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
β€’ ED Management ... Scaphoid #Fracture #Wrist ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Young females Differential ... Diagnosis: β€’ CN ... no light-near dissociation ... β€’ Other causes ... #neurology #ophthalmology
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Red Flags and Differential ... Diagnosis Red ... causes #primary ... #secondary #management ... #neurology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Hyponatremia is usually caused ... Then, ask 3 questions ... the underlying cause ... #management #nephrology
Myasthenia Gravis - Summary
 β€’ an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
50 years in men Diagnosis ... More likely to cause ... myasthenia usually β€’ Starts ... glucocorticoids - can cause ... #management #neurology