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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Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
Guideline for the Management ... updated systematic review ... summarised in Tables ... #Pharmacology # ... Effectiveness #Table
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
test panel - Review ... Pain control - ... gram Q6hr) and pain-dose ... limit them as able ... Pancreatitis #Checklist #Diagnosis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 β€’ Rest angina attributed to coronary artery vasospasm.
 β€’ Patients often
other vasospastic disorders ... anginal chest pain ... tolerance β€’ Pain ... troponin elevation Diagnosis ... #diagnosis #management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... space >3 mm on PA view ... : Pain control, ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
: Pain control ... β€’ If stable ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Supracondylar Elbow Fracture
β€’ Most common elbow fracture in children, peak age 5-7 
β€’ When looking at
an elbow x-ray review ... syndrome β€’ ED Management ... : Pain control ... Elbow #Humerus #Radiology ... #XRay #Diagnosis
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
an elbow x-ray review ... fracture β€’ ED Management ... : Pain control ... Fracture #Elbow #Radiology ... #XRay #Diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Delivery β€’ Stable ... auto-transfusion and relief ... Cardiomyopathy #diagnosis ... #management #cardiology
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
Alcohol Use Disorder ... if also chronic pain ... Maintenance #Treatment #management ... #pharmacology # ... table #addiction
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
radiographs should be reviewed ... lesion has been stable ... Management of indeterminate ... definitive tissue diagnosis ... #Management #Radiology