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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HINTS Exam - Distinguishing Central from Peripheral Vertigo
 β€’ Head Impulse: Head thrust 10Β° with eyes
following a finger) β€’ Test ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Sensitivity is the proportion of truly diseased persons in the screened population who are identified as
will correctly diagnose ... a case, or the ... that any given case ... #Calculation #Table ... #PPV #NPV #Formulas
β–Ί
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
Multiple masses ... The differential diagnostic ... most important diagnoses ... listed in the table ... #Management #Radiology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... 45Β° towards the test ... throughout the test ... #Instructions #Diagnosis ... #neurology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Angina Stress Test ... Angina #ChestPain #Diagnosis ... #Management #Algorithm ... #Cardiology #EBM
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
β€’ If stable ... DC with orthopedic ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (β‰₯ 3 episodes of VT/ICD therapies
Electrical Storm ES diagnosed ... cardioversion Stable ... of reversible causes ... #VTach #diagnosis ... #cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Definitions - Stable ... pain occurs at rest ... thrombus formation causes ... #Diagnosis #Cardiology ... GrepMed Recommended Text
Dix-HaIlpike Maneuver
 β€’ Turn head to 45Β° and then rapidly lay patient to a supine position
20Β° over end of table ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management