Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
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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Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
rhythm table #Diagnosis ... #Cardiology #EKG ... Irregular #Table #Comparison ... #Differential
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... ED Management: Pain ... Discharge with orthopedic ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
ED Management: Pain ... Disposition: Pending orthopedic ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 β€’ Mechanism: ischemic pain
 β€’ Can present
of Bone/Joint Pain ... predispose to other orthopedic ... β€’ Differentiate ... SickleCell #Disease #differential ... #diagnosis #causes
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... ED Management: Pain ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Retinal vs Choroid Detachment - Head CT Comparison and Diagnosis

RETINAL DETACHMENT
 - Reduced visual acuity, flashes,
Detachment - Head CT Comparison ... and Diagnosis ... Dull to severe pain ... Detachment #HeadCT #Comparison ... #Diagnosis #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... anatomic snuff box, pain ... ED Management: Pain ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
ED Management: Pain ... Discharge with orthpedic ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... Cystic #Cysts #Differential ... #Comparison #Table
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Management: Simple, pain ... Complex, pending orthopedic ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics