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 ... #Test #Lever #Sign ... #anterior #cruciate ... ligament #clinical #video ... #physicalexam #sports
β–Ί
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lelli's Test (Lever Sign ... #Test #Lever #Sign ... #anterior #cruciate ... ligament #clinical #video ... #physicalexam #sports
β–Ί
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lelli's Test (Lever Sign ... #Test #Lever #Sign ... #anterior #cruciate ... ligament #clinical #video ... #physicalexam #sports
β–Ί
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point β€’ De Winter syndrome ... V2 β€’ Wellens sign ... pain β€’ Wellens sign ... #EKG #diagnosis ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... wave inversion in avL ... - early inferior ... #EKG #diagnosis ... Interpretation #differential
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration β€’ Symptoms ... have fever - ACS ... WBC >100k, + lab signs ... unless worrisome EKG ... #TLS #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
hyperthermia crisis (late sign ... β€’ Serotonin syndrome ... Phaeochromocytoma Neurologic ... #Hyperthermia #Differential ... Anesthesia #Checklist #Diagnosis
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
glaucoma: unilateral anterior ... thrombophilia, neurologic ... signs/symptoms ... postpartum #Diagnosis ... Dangerous #Deadly #Differential
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... systemic sx + signs ... very remarkable w/differential ... GCA #Temporal #Signs ... #Symptoms #Diagnosis
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: β€’ ... β€’ Locked-in syndrome ... β€’ Examine for signs ... #PhysicalExam #neurology