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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11 results
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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Osgood-Schlatter Disease - MSK Radiology
Imaging Findings:
 • Infrapatellar fat-pad edema with loss of the patellar tendon
Tibial tuberosity pain ... • MRI is more sensitive ... tibial tuberosity Differential ... Schlatter #Disease #Knee ... #mri #clinical
Pes Anserine Bursitis - MSK Radiology
Imaging Findings:
 • T2-hyperintense fluid-like signal along the medial aspect of
aspect of the knee ... Differential diagnosis ... similar location of pain ... #clinical #mri ... #diagnosis #msk
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
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 • Arrows identifying the characteristic edema-like signal
atraumatic adolescent knee ... pain ... (save $$) Differential ... diagnosis: • Salter ... #mri #clinical
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
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
The "double PCL sign ... Differential diagnosis ... BucketHandle #Tear #knee ... #mri #clinical ... #Radiology #diagnosis
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
patient is in the knee-to-chest ... Positive Carnett's sign ... incisional hernias: clinical ... #differential # ... diagnosis
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
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