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
Abdominal Pain - Differential Diagnosis According to Localization of Abdominal Pain 

Abdominal pain can originate from
An EP should prioritize ... possible life-threatening ... (Table 2). ... exhaustive and should ... GrepMed Recommended Text
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, ... infections #HIVAIDS #pharmacology
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
Orthopedic Dislocations (Shoulder, Elbow and Hip) - Diagnosis and Management Summary
Shoulder Dislocation
 β€’ Fall on the
Elbow and Hip) - Diagnosis ... lies supine. 2. ... elbow fully as a test ... is supine 2. ... #Elbow #Hip #Diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
bradycardia. renal/liver ... extubation, as it should ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare #diagnosis
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
, Muscle/joint pain ... aldosterone levels are ... A STIM test can ... ACTH STIM TEST: ... Give 250 mcg of
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
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
disappears in 2- ... have positive serology ... a syndrome of pain ... -Gumma are ulcerating ... Latent #Tertiary #Diagnosis
Uncertainty Communication Checklist for Patient Discharge

Introduction
1. Explain to the patient that they are being discharged
2. Ask
being discharged 2. ... and/or by phone Test ... state that either β€œlife-threatening ... Discuss next tests ... what symptoms should