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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Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
Syphilis Reverse Algorithm ... first step in the algorithm ... trep antibody) Reflex ... of inflammation caused ... Syphilis #Reverse #Algorithm
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Test downward eye ... Test if patient ... document response (tests ... Casey Albin MD @
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Causes of Hyporeflexia ... Deep coma (any cause ... #differential # ... diagnosis #table
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... Renal ultrasound, Tests ... sodium loading test ... #Hypertension #Differential ... Screening #Workup #table
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
alternating light test ... swinging-flashlight test ... the pupillary reflex ... regarding the cause ... Neurology #Clinical #Video
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Abdominal Pain - Differential Diagnosis According to Localization of Abdominal Pain 

Abdominal pain can originate from
Abdominal Pain - Differential ... extra-abdominal causes ... abdominal pain (Table ... #Localization #Causes ... GrepMed Recommended Text
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Classification Reflex ... #Syncope #Differential ... Classification #Table ... #Causes
Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
the examination table ... patients may be able ... to plantar flex ... ability to plantar flex ... sports #clinical #video
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Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Weakness, fatigue, nausea ... ACTH) stimulation test ... #Diagnosis #Algorithm
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Bunnel-Littler PIP Joint Test ... joint capsule cause ... MCP & passively flex ... BunnelLittler #Test ... PhysicalExam #clinical #video
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