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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Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lelli's Test (Lever ... Sign) for ACL Injury ... rises from the table ... clinical #video #physicalexam ... #sports #msk #orthopedics
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Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... : Tachycardia, Fever ... Clonus (inducible), Muscular ... Symptoms #spectrum #signs ... #diagnosis
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign ... superior vena cava syndrome ... #Pembertons #Sign ... Thyroid #Goiter #PhysicalExam ... clinical #video #vascular
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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 ... #Pembertons #Sign ... #PhysicalExam # ... #Vascular #Thoracic
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Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
abscess - New valvular ... drug use - Fever ... - 38 C - Vascular ... Osler's nodes, Roth spots ... #Major #Minor #Diagnosis
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
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
the Nikolsky sign ... staphylococcal scalded skin syndrome ... the Nikolsky sign ... and toxic shock syndrome ... or Nikolsky sign
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