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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Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign ... #Pembertons #Sign ... PhysicalExam #clinical #video ... #vascular #neck ... #mass #SVC #Syndrome
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Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lelli's Test (Lever Sign ... rises from the table ... #Test #Lever #Sign ... ligament #clinical #video ... #physicalexam #sports
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Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... retraction (Collier's sign ... β†’ "setting sun sign ... " - Vascular disease ... #diagnosis #pineal
Cushing Syndrome - Signs and Symptoms
Generalized: Weight gain, Slow healing of cuts, Increased risk of infections,
Cushing Syndrome ... - Signs and Symptoms ... Decreased libido Vascular ... #Signs #Symptoms ... #diagnosis #endocrinology
Pemberton's Sign - Thoracic Outlet Syndrome

The Pemberton maneuver is a physical examination tool used to demonstrate
Pemberton's Sign ... Thoracic Outlet Syndrome ... PhysicalExam #Clinical #Video ... #SVC #Syndrome ... #Vascular #Thoracic
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Signs and Symptoms of Toxidromes

Sympathomimetic / GABAergic withdrawal 
Cholinergic 
Anticholinergic 
Opioid withdrawal 
Neuroleptic malignant syndrome 
Serotonin
Signs and Symptoms ... Neuroleptic malignant syndrome ... Serotonin syndrome ... Toxidromes #Comparison #Table ... Sympathomimetics #Diagnosis
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Cardiovascular and vital sign ... Clonus (inducible), Muscular ... Symptoms #spectrum #signs ... #diagnosis
Parinaud's syndrome
What?
 β€’ Light-near dissociation (tectal pupils)
 β€’ Convergence retraction nystagmus
 β€’ Eyelid retraction (Collier's sign)
Parinaud's syndrome ... retraction (Collier's sign ... "setting sun" sign ... β€’ Vascular disease ... #neurology #diagnosis
Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Nikolsky's Sign ... Stevens-Johnson Syndrome ... Staphylococcal scalded skin syndrome ... differentiating between the diagnosis ... #PhysicalExam #Video
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Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN) - See Updated MP4 Clip Here: https://www.grepmed.com/images/6837

Nikolsky's sign is
Nikolsky's Sign ... Stevens-Johnson Syndrome ... Staphylococcal scalded skin syndrome ... differentiating between the diagnosis ... #Video #Clinical
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