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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17 results
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Clinical Manifestations ... of Serotonin Syndrome ... Ophthalmologic: Mydriasis, Ocular ... clonus (slow horizontal ... #diagnosis
Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
is a clinical dermatological ... differentiating between the diagnosis ... #TEN #Dermatology ... #PhysicalExam #Video ... #Clinical #SJS
β–Ί
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... : 'signet ring sign ... central dot. - LIP #Clinical ... #Comparison #Table
Inflammatory Myopathies
Dermatomyositis
 β€’ Onset: Subacute
 β€’ Pattern: Proximal
 β€’ CK: Up to 50X ULN
 β€’ Autoantibodies:
heliotrope, shawl sign ... Onset: Insidious/slow ... Inflammatory #Myopathies #differential ... #diagnosis #comparison ... #rheumatology #
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... >10 mmHg - clinically ... #Diagnosis #causes ... #hepatology
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
necrosis HELLP Syndrome ... Liver enzymes, and Low ... obstetrics #hepatitis #comparison ... #differential # ... diagnosis #icp #
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Diagnosis Baseline ... investigations depending on clinical ... context and signs ... β€’ Cardio-renal syndrome ... #Diagnosis #nephrology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... The video highlights ... how the right pupil ... #clinical #video ... #physicalexam #neurology
β–Ί
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
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
wax and wane; diagnosis ... painless, no systemic signs ... biopsy preferred Differential ... staph aureus, cow ... Sporotrichiosis #Infection #clinical