Dr. Gerald Diaz @GeraldMD
39.5M 14.2K 7.5K
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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Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 β€’ inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... on Abdominal XRay ... - Differential ... β€’ infection (e.g ... Diagnosis #radiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... injury β€’ ED Management ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... fracture β€’ ED Management ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain β€’ ECG ... bradycardia #diagnosis #differential ... #management #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Sepsis (β†’ 3-14) e.g ... hyperthermia crisis (late sign ... amphetamines) Toxic: β€’ Radiologic ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management
Continuous Diaphragm Sign and Pneumomediastinum on Chest XRay

16yo boy referred in by his GP with7/10 chest
Pneumomediastinum on Chest XRay ... Managed with a short ... with a repeat CXR ... Pneumomediastinum #ChestXRay #CXR ... #Radiology #Clinical
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest X-ray ... Phos), CBC with differential ... oral secretions (e.g ... monitoring (vital signs ... MyastheniaGravis #Checklist #Management