Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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48 results
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... and Hyperreflexia ... Hypermagnesemia, Hypothyroidism ... Hyperreflexia #Testing ... #Causes #differential
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... Testing Common ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... #Hypertension #Differential
Positive Lachman test in ACL Injury

Here is an exam of a patient under anesthesia with an
Positive Lachman test ... That causes the ... during running and ... #Lachmans #test ... cruciate #ligament #msk
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Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... dexamethasone suppression test ... between 11 pm and ... Syndrome #diagnosis #algorithm
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... abnormal) in nearly all ... of AVS and negative ... with a central cause ... #HeadImpulse #Testing
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
ACO initially requires ... bronchodilator test ... summary of the differential ... ACO = asthma-COPD ... #Differences #Algorithm
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
Syphilis Reverse Algorithm ... first step in the algorithm ... of inflammation caused ... Syphilis #Reverse #Algorithm ... #Testing #Diagnosis
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... grip weakness caused ... ulnar nerve palsy, testing ... #physicalexam #msk ... orthopedics #sports #hand
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Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... AND • Baseline
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... excludes AI in almost all ... require Cosyntropin testing ... cortisol 30 min AND ... Step 3) Differentiate