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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31 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Marfans, EDS ... deficit β€’ Shock Treatment ... - ED goal is to ... #Dissection #diagnosis ... #management #vascular
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
arterial sheath and ... balloon at the end ... Complications and ... Balloon #Pump #diagnosis ... #management #cardiology
Natural history
Aneurysms may progress in size as a result of gradual wall weakening [6], with rupture
occurring at the end ... 4.5 cm in women and ... References: Radiology ... Guidelines for the treatment ... 37:1106-1117 #Management
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 β€’ Direct lesion contact during sex is responsible
Headache, meningitis, ocular ... ulcerated β€’ MSK ... and aortic valve ... Syphilis #stages #diagnosis ... #management #Treatment
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
prophylactic antibiotic treatment ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Post-TAVR Suicide Left Ventricle
Pre-TAVR: High afterload from aortic stenosis leads to compensatory left ventricular hypertrophy and
afterload from aortic ... to ↑ Afterload and ... Left #Ventricle #diagnosis ... #management #pathophysiology ... #cardiology #treatment
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Aortic dissection ... : - EGD showing ... third of esophagus Treatment ... : - Treatment of ... #management #gastroenterology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures β€’ ED ... Management: Pain ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
injury (LCL) β€’ ED ... Management: Pain ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Proximal #MSK
Supracondylar Elbow Fracture
β€’ Most common elbow fracture in children, peak age 5-7 
β€’ When looking at
onto outstretched hand ... Management: Pain ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #MSK