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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Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
- Differential Diagnosis ... disease - Renal ultrasound ... Duplex Doppler ultrasound ... CT or MRI scan of ... #Workup #table
Hordeolum vs Chalazion

Hordeolum (Stye):
 β€’ Location: Most commonly found at or near an eyelash follicle
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eyelash follicle β€’ Cause ... eyedrops, surgery #Clinical ... #Diagnosis #Management ... Stye #Chalazion #Comparison ... #Table
TRALI vs TACO - Transfusion Reactions
TRALI:
 β€’ Epidemiology: 0.1% of transfused patientsl
 β€’ Risk factors: Critical
Risk factors: Critical ... without other cause ... , and CXR with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
- Differential Diagnosis ... failure, acute MI ... findings based on cause ... anaphylaxis, release syndrome ... #table #comparison
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
heart valves β€’ MRI ... in up to 30% of cases ... often seen β€’ MRI ... #Endocarditis #comparison ... #table
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... or induced by treatment ... #clinical #video ... ophthalmology #physicalexam
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Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Infarction and Pulmonary ... life-threatening causes ... pain, such as MI ... #Presentation #comparison ... #Table #Diagnosis
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... The most common causes ... MRI was ordered ... the hospital, diagnosed ... #PhysicalExam #
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Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... Undifferentiated #Shock #diagnosis
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
The MRI findings ... receive proper treatment ... is no mainstay treatment ... Ophthalmicus #HZO #clinical ... ophthalmology #physicalexam
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