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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Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Orthopedic Essentials ... fractures: Don't cause ... spinal deformity or neurologic ... deficit, still able ... #Orthopedics #diagnosis
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... increased blood volume during ... and other rarer causes ... Kussmauls #Sign #physicalexam ... jvp #cardiology #neck
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Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... experience, the cause ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
grip weakness caused ... flexing the thumb (using ... clinical #video #neurology ... #physicalexam # ... msk #orthopedics
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Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 β€’ Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... ptotic eyelid will cause ... Assessing for neck ... Myasthenia #Gravis #PhysicalExam ... #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
Commonly caused ... nerve at fibular neck ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... more prominent during ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... #PhysicalExam #
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Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... are enough to diagnose ... the case as Typical ... Awaves #AVNRT #PhysicalExam ... JVP #Cardiology #Neck
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Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
Webber Ankle Injury Classification ... appear to be a stable ... These injuries are caused ... #Diagnosis #Orthopedics ... Injury #Fracture #Classification
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis