Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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The RIGID patient: tetanus mimics
 - Serotonin Syndrome
 - Neuroleptic Malignant Sx
 - Malignant Hyperthermia
 -
- Serotonin Syndrome ... mimics #comparison #table ... rigid #patient #differential
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
When trying to differentiate ... with Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... Serotonin Syndrome ... NeurolepticMalignant #Comparison #Table
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
rises from the table ... rise from the table ... ligament #clinical #video ... #sports #msk #orthopedics
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
for Piriformis Syndrome ... #Piriformis #syndrome ... lumbar #clinical #video ... #msk #sports #orthopedics
External Snapping Hip Syndrome - Coxa Saltans

External snapping hip or coxa saltans: sliding of the iliotibial
External Snapping Hip Syndrome ... Snapping #Hip #Syndrome ... Iliotibial #clinical #video ... physicalexam #msk #orthopedics
Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
rises off the table ... Video via @open_michigan ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
renal Mg wasting syndromes ... - Gitelman syndrome ... - Hungry bones syndrome ... Hypomagnesemia #Differential ... Low #Magnesium #Table
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... Test #Piriformis #Syndrome ... #clinical #video ... sciatica #msk #orthopedics
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
- Tumor lysis syndrome ... Hypermagnesemia #Differential ... High #Magnesium #Table
Hyperaldosteronism - Etiologies of Mineralocorticoid Excess

Primary Hyperaldosteronism (Normal or Low Renin, High Aldosterone) 
 - Aldosterone-secreting
- Cushing’s syndrome ... Hyperaldosteronism #Differential ... Aldosterone #Comparison #Table