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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33 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures β€’ ED Management ... 1 week MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation β€’ ED Management ... 1 week MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Lumbar Central Canal Stenosis Grading 
  - Normal - No CSF effacement 
  -
Lumbar Central Canal ... - Normal - No CSF ... effacement of CSF ... Classification #Diagnosis #Radiology ... #MSK #MRI
Cervical Central Canal and Neural Foraminal Stenosis Grading

Cervical Central Canal Stenosis Grading
 - Normal - No
Cervical Central Canal ... Cervical Central Canal ... Cervical #Central #Canal ... Classification #Diagnosis #Radiology ... #MSK #MRI
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation β€’ ED Management ... x-rays MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury β€’ ED Management ... repair MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Lumbar stenosis guide we created to implement consistent radiology reporting across our multi-hospital network. 
Lumbar Central
implement consistent radiology ... Lumbar Central Canal ... effacement of CSF ... Foraminal #Diagnosis #Radiology ... #MSK #MRI
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... #criticalcare # ... pulmonary #Hypoxia
Total Anomalous Pulmonary Venous Return (TAPVR)
 β€’ Introduction
 β€’ Classification
 β€’ Pathophysiology of TAPVR
 β€’ Presentation
Total Anomalous Pulmonary ... Pre-Operative Management ... Outcomes by Cara ... Total #Anomalous #Pulmonary ... #cardiology #peds