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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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
screen within 1 ... aged 21–29 should ... • Pap test should ... 2, and 6 months ... infections #HIVAIDS #pharmacology
Orthopedic Dislocations (Shoulder, Elbow and Hip) - Diagnosis and Management Summary
Shoulder Dislocation
 • Fall on the
- Diagnosis and ... lies supine. 2. ... elbow fully as a test ... by holding the pelvis ... #Elbow #Hip #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 ... Pearls: #1 Confirm ... an IUP or not. #2
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Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Recurrent abdominal pain ... the following: 1. ... cultures, but test ... Pelvic Floor Disorder ... Anorectal manometry (ARM
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
fungal infection, HIV ... , Muscle/joint pain ... PEARLS: 1. ... A STIM test can ... 1.
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
such that the shoulders ... 45° towards the test ... throughout the test ... #Instructions #Diagnosis ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Comatose Patient 1. ... safe to stop 2. ... Possible responses to pain ... #PhysicalExam #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
to 2 cases per 100,000 ... immunodeficiency virus (HIV ... 3 to 1/2 of patients ... and sensitive tests ... #management #neurology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
glomerular disease 1) ... less expensive 2) ... . 5) C3, C4 - Test ... cryoglobulinemias (types 2 ... disease #workup #diagnosis