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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Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
to opioids for pain ... management in the ... Pain pathways by ... #Pharmacology # ... Pathways #Table #MSK
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
for Piriformis Syndrome ... Pain in the sciatic ... #Piriformis #syndrome ... lumbar #clinical #video ... #physicalexam #msk
β–Ί
How to identify and manage orofacial pain

#Orofacial #Pain #Syndromes #Differential #Diagnosis #Management
manage orofacial pain ... #Orofacial #Pain ... #Syndromes #Differential ... #Diagnosis #Management
Parkinson's Plus Syndromes - Atypical Parkinsonism
Main motor symptoms:
 β€’ Tremors
 β€’ Limb rigidity
 β€’ Bradykinesia
Other symptoms
Parkinson's Plus Syndromes ... Parkinsonism Main ... Parkinson's plus syndrome ... system atrophy (MSA ... #Parkinsonism #diagnosis
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... positive if there is pain ... Test #Piriformis #Syndrome ... #clinical #video ... lumbar #sciatica #msk
β–Ί
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 β€’ Os trigonum which has marrow
(Os Trigonum) Syndrome ... - MSK Radiology ... longus Differential diagnosis ... Trigonum #OsTrigonum #Syndrome ... #msk
Campylobacter
Clinical 
 β€’ Fever 
 β€’ Abdominal pain 
 β€’ Diarrhea (bloody stools) 
 β€’ Vomiting
β€’ Abdominal pain ... Guillain-BarrΓ© syndrome ... Management ... Campylobacter #Diagnosis ... #Management #Overview
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
), compartment syndrome ... : Pain control ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Proximal #MSK
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Patient Specific, Pain ... Syndrome-Targeted ... Combinations of Non-Pharmacologic ... Stewardship #Algorithm #Management ... #Pain #ED
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... compartment syndrome ... Electricity #Evaluation #Diagnosis ... #Management #Emergency