Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
(using Speed's test ... (In Speed's test ... Pain in the anterior ... #Diagnosis #PhysicalExam ... #Tendinopathy #Impingement
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for ... effectively increasing ACh ... BostonChiefs #Icepack #Test ... #physicalexam #neurology ... #diagnosis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 โ€ข Rest angina attributed to coronary artery vasospasm.
 โ€ข Patients often
anginal chest pain ... tolerance โ€ข Pain ... troponin elevation Diagnosis ... perform provocative tests ... Angina #cardiology #diagnosis
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
ANGINA - Angina pain ... Angina pain occurs ... at rest or progresses ... #Diagnosis #Cardiology ... GrepMed Recommended Text
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
anorexia, abdominal pain ... , Muscle/joint pain ... A STIM test can ... ACTH STIM TEST: ... Give 250 mcg of
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
and Differential Diagnosis ... Systemic N - Neurologic ... Patient Prefers to Rest ... Eye/Temple โ€ข Pain ... quickly, deep pain
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... - Differential Diagnosis ... Hyperventilation (Anxiety, pain ... Interpretation #Diagnosis ... #Summary #Nephrology
The Neurological Evaluation of a Comatose Patient

Definition:
 โ€ข Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Test if patient ... Possible responses to pain ... #PhysicalExam #neurology ... #comatose #diagnosis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... claudication: pain ... chews, not just pain ... the โ€œChewing gum test
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
have positive serology ... a syndrome of pain ... Latent #Tertiary #Diagnosis ... GrepMed Recommended Text