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 radiology physicalexam adies arteritis arthritis bursitis comatose comparison cortical desmoid endocarditis freiberg gca giantcell gout gouty half hyponatremia hypotonic
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
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
Freiberg Infraction - MSK Radiology Imaging Findings: • Sclerosis of the 2nd MT head with flattening of
Case description ... for secondary signs ... Differential diagnosis ... Freiberg #Infraction #foot ... #clinical #mri
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... heart valves • MRI ... common, Aortic root ... often seen • MRI ... #table
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
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
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
MRI was ordered ... the hospital, diagnosed ... with MS, and started ... clinical #video #ophthalmology ... #neurology
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 Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... systemic sx + signs ... very remarkable w/differential ... required +/- prompt ophthalmology ... GCA #Temporal #Signs
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... • Locked-in syndrome ... • Examine for signs ... #PhysicalExam #neurology
Intermetatarsal Bursitis - MSK Radiology Imaging Findings: • T2-hyperintense fluid-like signal and T1-hypointense signal between the first
Case description ... Differential diagnosis ... - Band of low-signal ... Intermetatarsal #Bursitis #foot ... #msk
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