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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Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
joint tenderness, supraspinatus ... , the arm is fully ... Pain in the anterior ... #Diagnosis #PhysicalExam ... #Tendinopathy #Impingement
IDSA Recommendations for Preventing Human Papillomavirus Infections and Cervical Cancer Screening for Women with in HIV-AIDS
Recommendations
HIV aged 21–29 should ... β€’ Pap test should ... are normal, follow-up ... 0.5mL IM at 0, 1–2, ... #HIVAIDS #pharmacology
Abdominal Pain - Differential Diagnosis According to Localization of Abdominal Pain 

Abdominal pain can originate from
, Cardiac, GI, infectious ... An EP should prioritize ... (Table 2). ... exhaustive and should ... GrepMed Recommended Text
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
: β€’ 2 sets of blood ... cultures should ... the preferred test ... the workup β€’ Test ... Most patients are
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
causes: TB, fungal infection ... , Muscle/joint pain ... aldosterone levels are ... A STIM test can ... ACTH STIM TEST:
Guillain-BarrΓ© Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 β€’ Incidence: 1
Incidence: 1 to 2 ... to a preceding infection ... found in 1/3 to 1/2 ... and sensitive tests ... #management #neurology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... vasculitis vs infection ... claudication: pain ... chews, not just pain ... the β€œChewing gum test
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... safe to stop 2. ... Possible responses to pain ... #PhysicalExam #neurology ... #comatose #diagnosis
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
severe abdominal pain ... +preg test. ... (see below for diagnosis ... an IUP or not. #2 ... Unstable patients should
β–Ί
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
disappears in 2- ... to asymptomatic infection ... a syndrome of pain ... -Gumma are ulcerating ... Latent #Tertiary #Diagnosis