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 ... (using Speed's test ... (In Speed's test ... , the arm is fully ... Pain in the anterior
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 ... IDSA #Prevention #Treatment ... #HIVAIDS #pharmacology
Positive Drop Arm Test on Shoulder Exam - Supraspinatus Injury

Starting from 90 degrees of passive shoulder
Test on Shoulder ... Exam - Supraspinatus ... sudden drop or pain ... difficulty or pain ... #Drop #Arm #Test
β–Ί
Full Can Test for Supraspinatus Injury on Shoulder Exam

The patient's arms are elevated to 90 degrees
Supraspinatus Injury ... The patient's arms ... are elevated to ... if there is pain ... #Shoulder #Supraspinatus
β–Ί
Empty Can (Jobe) Test

Position: Flex shoulder to 90 degrees in the scapular plane. Internally rotate the
Empty Can (Jobe) Test ... that the thumbs are ... patient experiences pain ... Empty #Can #Jobe #Test ... #orthopedics #supraspinatus
β–Ί
Empty Can (Jobe) Test on Shoulder Exam

With the shoulder flexed 90 degrees, rotate internally and pronate
on Shoulder Exam ... downward on the arm ... with pain or weakness ... resistance, suggesting supraspinatus ... #orthopedics #supraspinatus
β–Ί
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
can mimic common infections ... : β€’ Infection ... should be diagnosed ... insulting agent are ... the main goal of
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
antibiotic use, infections ... retrosternal chest pain ... : - Treatment of ... unless patients are ... retrosternal or back pain
IDSA Recommendations for Treating Cytomegalovirus Infections in HIV-AIDS
Preventing CMV Disease:
 β€’ CMV end-organ disease is best
end-organ disease is best ... prevented by using ART ... CMV retinitis should ... should include ... #HIVAIDS #pharmacology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... to asymptomatic infection ... have positive serology ... a syndrome of pain ... -Gumma are ulcerating