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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Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Ophthalmologic: Mydriasis, Ocular ... clonus (slow horizontal ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Rheumatoid Arthritis ... Tunnel, Sicca Syndrome ... #Rheumatoid #Arthritis ... #RA #diagnosis ... #rheumatology #signs
Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
Nikolsky's Sign ... Nikolsky's sign ... dermatological sign ... Nikolsky's sign ... #PhysicalExam #Video
β–Ί
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
heliotrope rash, Shaw sign ... , holster sign, ... anti-synthetase syndrome ... myositis, and arthritis ... #rheumatology
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
the Nikolsky sign ... the Nikolsky sign ... , the differential ... fever or Nikolsky sign ... #Diagnosis #Dermatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 β€’ Eccentric soft-tissue densities surrounding the third proximal interphalangeal
commonly intermediate-low ... mass and NO prior signs ... Differential diagnosis ... Tendon Sheath - Nodular ... #msk #rheumatology
Combination of Skin Findings and Arthritis in Pediatrics Patient - Differential Diagnosis
Malar rash: 
 β€’ A
Pediatrics Patient - Differential ... Diagnosis Malar ... migrans: β€’ Target sign ... #differential # ... diagnosis #peds
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... significant portal HTN Signs ... obstruction) β€’ Lack of signs ... #hepatology
Systemic Lupus Erythematosus - Diagnosis
Manifestations:
 - Arthritis 69%
 - Malar rash 40%
 - Fever 36%
 -
Manifestations: - Arthritis ... (aPL) 30-45% Differential ... autoantibodies #signs ... symptoms #mimickers #differential ... #rheumatology
Rheumatoid Arthritis - Signs and Symptoms
 β€’ Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans
 β€’ Pulmonary:
- Signs and Symptoms ... β€’ Ocular: Keratoconjunctivitis ... Thrombocytosis, Felty's syndrome ... #RA #Signs #Symptoms ... #diagnosis #rheumatology