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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workup endocrinology a4c acute adrenal aki arteritis cardiology causes classification clotintransit comatose dementia echocardiogram embolism fever foot freiberg fuo gca
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Diagnosis Algorithm ... Clinical suspicion ... musculoskeletal pain ... ACTH) stimulation test ... #Diagnosis #Algorithm
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
female with chest pain ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical
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 Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... Diagnosis Baseline ... investigations depending on clinical ... context and signs ... Diagnosis #nephrology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism → Signs ... Hyperthyroidism → MRI ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Major neurocognitive disorders (MNCD): Diagnosis and workup 1) Clinical diagnosis Cognitive impairment + loss of autonomy 2)
workup 1) Clinical ... ... laboratory tests ... MRI, iADL scale, ... (parkinsonian signs ... MNCD #Dementia #Differential
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Returning Traveler’ algorithm ... Test for the respective ... thin smear • Signs ... node biopsy • Clinical ... UnknownOrigin #workup #diagnosis
Freiberg Infraction - MSK Radiology Imaging Findings: • Sclerosis of the 2nd MT head with flattening of
• Pain worsens ... for secondary signs ... Differential diagnosis ... similar location of pain ... #mri #clinical
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... systemic sx + signs ... very remarkable w/differential ... the “Chewing gum test
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... Possible responses to pain ... • Examine for signs ... #PhysicalExam #neurology
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