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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27 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
and Screening Testing ... h of infusion Adrenal ... CT scan, adrenal ... salivary cortisol β€’ Hypothyroidism ... β€’ Hyperthyroidism
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... dexamethasone suppression test ... Hormone β€’ MRI of adrenal ... Syndrome #diagnosis #algorithm ... endocrinology #Adrenal
Antenatal Visits - Testing and Schedule
At Every Visit:	
 β€’ Gestational Age	
 β€’ BP
 β€’ Maternal Weight
β€’ HepB β€’ HIV ... Glucose Challenge Test ... Glucose Tolerance Test ... - Vaginal and Rectal ... Amy Chung, MD, MSc
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 Β΅g cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
Ely's Test for Rectus ... buttock, if the hip ... or leg during testing ... clinical #video #hip ... #physicalexam #msk
β–Ί
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
Ely's Test for Rectus ... buttock, if the hip ... or leg during testing ... clinical #video #hip ... #physicalexam #msk
β–Ί
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Ely's Test for Rectus Femoris Spasticity

Ely's Test assesses rectus femoris spasticity.
With the patient prone, the examiner
Ely's Test for Rectus ... assesses rectus ... #Rectus #Femoris ... #Spasticity #Hip ... video #sports #msk
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Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... - Assay cross reacts ... OCPs, pregnancy) Test
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm