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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clinical physicalexam nephrology radiology rheumatology signs symptoms adies arteritis arthritis comatose cortical criticalcare desmoid endocarditis gca giantcell gout gouty half
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
pressure - Normal/low ... Serum albumin - Low ... #Nephritic #Comparison ... #Table #Nephrology ... #Diagnosis
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... commonly intermediate-low ... mass and NO prior signs ... - **MSK rads ... Differential diagnosis
Rapid, increasing signs of extrapyramidal symptoms (EPS) is an important key feature of NMS. EPS, associated
Rapid, increasing signs ... should exhibit low ... #Diagnosis #Serotonin ... NeurolepticMalignant #Comparison ... #Table
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... #PhysicalExam #neurology ... #ophthalmology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
failure, acute MI ... findings based on cause ... anaphylaxis, release syndrome ... #Diagnosis #table ... #comparison #criticalcare
Inflammatory Myopathies Dermatomyositis • Onset: Subacute • Pattern: Proximal • CK: Up to 50X ULN • Autoantibodies:
Anti-MDA5, anti-Mi ... heliotrope, shawl sign ... Inflammatory #Myopathies #differential ... #diagnosis #comparison ... #rheumatology #table
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... heart valves • MRI ... often seen • MRI ... #Endocarditis #comparison ... #table
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism In contrast to the
life-threatening causes ... pain, such as MI ... Pericarditis #Symptoms #Signs ... #Presentation #comparison ... #Table #Diagnosis
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 Cortical Desmoid - MSK Radiology Imaging Findings: • Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Cortical Desmoid - MSK ... Differential diagnosis ... MR is able to distinguish ... Desmoid #clinical #mri ... #msk
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
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