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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15 results
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
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 ... Nikolsky's sign ... differentiating between the diagnosis ... #PhysicalExam #Video
β–Ί
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration β€’ Symptoms ... WBC >100k, + lab signs ... , Elevated Cr, Low ... #TLS #diagnosis ... #management #hematology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Diagnosis Portal ... >10 mmHg - clinically ... significant portal HTN Signs ... obstruction) β€’ Lack of signs ... #hepatology
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
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
: Overwhelming clinical ... syndrome associated ... : HLH signs and ... symptoms can mimic ... Splenomegaly β€’ Low
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
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
Rheumatoid Arthritis - Signs and Symptoms
 β€’ Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans
 β€’ Pulmonary:
Rheumatoid Arthritis - Signs ... Ocular: Keratoconjunctivitis ... Thrombocytosis, Felty's syndrome ... Arthritis #RA #Signs ... #Symptoms #diagnosis
Rare Causes of Abdominal Pain
 β€’ Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
- May involve symptoms ... Positive Carnett's sign ... incisional hernias: clinical ... Abdominal #Pain #differential ... #diagnosis