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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Signs and Symptoms of Toxidromes

Sympathomimetic / GABAergic withdrawal 
Cholinergic 
Anticholinergic 
Opioid withdrawal 
Neuroleptic malignant syndrome 
Serotonin
Signs and Symptoms ... Neuroleptic malignant syndrome ... Serotonin syndrome ... Sympathomimetics #Diagnosis ... #Toxicology
Ramsay Hunt Syndrome - Herpes Zoster Oticus 
Triad:
1. Ipsilateral facial paralysis 
2. Ear pain 
3. Vesicles
Ramsay Hunt Syndrome ... Ear pain 3. ... • Stroke syndromes ... HerpesZoster #Oticus #Diagnosis ... #Symptoms #Signs
Boerhaave Syndrome 
Postemesis 
Iatrogenic (most common)
Left Posterolateral most common

Mackler's Triad:
Lower Chest Pain
Vomiting
Subcutaneous Emphysema

#Boerhaave #Syndrome #Diagnosis #Signs
Boerhaave Syndrome ... : Lower Chest Pain ... #Boerhaave #Syndrome ... #Diagnosis #Signs
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... : Pain control, ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
Acute Coronary Syndrome ... - Diagnostic Likelihood ... Patient With Chest Pain ... #EBM #Diagnosis ... AcuteCoronarySyndrome #Symptoms #Signs
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... bowel sounds, RUQ pain ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... : Pain control, ... #Management #Orthopedics
How to identify and manage orofacial pain

#Orofacial #Pain #Syndromes #Differential #Diagnosis #Management
manage orofacial pain ... #Orofacial #Pain ... #Syndromes #Differential ... #Diagnosis #Management
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
- Pain along ulnar ... – compartment syndrome ... Overlying wounds or signs ... Hand #Metacarpal #Diagnosis ... #Orthopedics
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... ), compartment syndrome ... : Pain control ... Radiology #XRay #Diagnosis ... #Management #Orthopedics