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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29 results
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign ... caused by a Retrosternal ... Elevating the arms causes ... #Pembertons #Sign ... Thyroid #Goiter #PhysicalExam
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Normal (Negative) Babinski / Plantar Reflex

The plantar reflex is a reflex elicited when the sole of
plantar reflex causes ... response or Babinski sign ... Clinical #Video #Signs ... #PhysicalExam ... #pyramidal
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Iridodonesis

Physical examination revealed iridodonesis, or β€œdancing” of the iris, which was elicited by rapid movement of
movement, is a sign ... characteristic sign ... with Marfan’s syndrome ... Iris #SlitLamp #PhysicalExam ... #Ocular
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Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Nikolsky's Sign ... Stevens-Johnson Syndrome ... Staphylococcal scalded skin syndrome ... , caused by the ... #Dermatology #PhysicalExam
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Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
- Serotonin syndrome ... thought to be caused ... clonus, myoclonus, ocular ... hyperthermia - Most cases ... initiation of treatment
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... maintained fever CAUSES ... hyperthermia crisis (late sign ... β€’ Serotonin syndrome ... #Differential #Causes
Behcet's Syndrome - Treatment
Ulcers:
 β€’ Treatment: Topical steroids
 β€’ Prevention: Colchicine
 β€’ Azathioprine for refractory disease
Arthritis:
Behcet's Syndrome ... - Treatment Ulcers ... : β€’ Treatment: ... refractory lesions Ocular ... Behcets #disease #Syndrome
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... experience, the cause ... or induced by treatment ... ophthalmology #physicalexam
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Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... WBC >100k, + lab signs ... organ damage β€’ Treatment ... Low calcium β€’ Treatment ... - Hyperkalemia treatment
Chaddock's Sign on Physical Exam - Babinski Equivalent
Chaddock's sign is present when stroking of the lateral
Chaddock's Sign ... Equivalent Chaddock's sign ... lateral malleolus causes ... #PhysicalExam # ... clinical #neurology #Pyramidal
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