Dr. Gerald Diaz @GeraldMD
23.1M 13.7K 7.2K
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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98 results
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
- Ice Test - ... Rest Test - Anticholinesterase ... Test - Quiver ... eye movements #Diagnosis ... LikelihoodRatios #PhysicalExam
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
meniscal integrity) tests ... #Diagnosis #Sports ... #Knee #PhysicalExam ... McMurray #Drawer #Test
Diagnosing Brucellosis
Epidemiological Exposures
- Endemic Regions
- Clinical Micro Lab Technicians
- Animal/Vaccine Exposure: Vets, Slaughterhouse workers, hunters
- Unpasteurized
Diagnosing Brucellosis ... Neurological, Ocular ... Genitourinary Diagnostic ... Tests: - CBC ... Transaminitis - Radiology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
9.2, LR- 0.09 Best ... test characteristics ... Testing #Stroke #physicalexam ... #diagnosis #neurology
Ocular Ultrasound Pocketcard
Painless Vision Loss
 β€’ Retinal Detachment 
 β€’ Posterior Vitreous Detachment 
 β€’ Vitreous
Ocular Ultrasound ... @Pocus101 #Ocular ... #differential #diagnosis ... #radiology #ophthalmology
Cholecystitis Diagnostic Test Characteristics  

Sensitivity, Specificity and Likelihood Ratios of Labs, Physical Exam findings, and
Cholecystitis Diagnostic ... Test Characteristics ... Cholecystitis #Diagnosis ... LikelihoodRatio #Accuracy #PhysicalExam
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Her ocular exam ... and the ice pack test ... include a Tensilon test ... Myasthenia #Gravis #PhysicalExam
β–Ί
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
High T4/T3) - Diagnostic ... if concern for nodular ... positive, you’ve diagnosed ... Check pregnancy test ... #Hyperthyroid #Diagnosis
Positive Seidel test on fluorescein stain exam

Globe rupture can be identified by a positive Seidel test
Positive Seidel test ... positive Seidel test ... in making the diagnosis ... Seidel #Positive #Test ... Ophthalmology #PhysicalExam
β–Ί
Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
(using Speed's test ... (In Speed's test ... is a positive test ... #Diagnosis #PhysicalExam