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, ... 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
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Recurrent abdominal pain ... cultures, but test ... Pelvic Floor Disorder ... Anorectal manometry (ARM ... Balloon Expulsion Test
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. ... by holding the pelvis
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
GRACE-2 Guidelines for Low-Risk, Recurrent Abdominal Pain in the ED

1) Should adult ED patients with low-risk,
GRACE-2 Guidelines ... repeat CT abdomen-pelvis ... No evidence] 2) ... non-opioid and/or non-pharmacologic ... #Emergency #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
Fever of Unknown Origin (FUO) Diagnostic Algorithm
STEP 1 Perform a comprehensive history and complete physical examination.
STEP
RF, ANA, HIV-1/2 ... serology, hepatitis ... tuberculosis skin test ... chest and abdomen/pelvis ... STEP 7 If there are