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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clinical algorithm causes management rheumatology symptoms arthritis dermatology injury kidney physicalexam radiology acute aki arteritis comatose comparison erythematous febrile fever
Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • 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 ... dermatological sign ... Nikolsky's sign ... #PhysicalExam #Video
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 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
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... significant portal HTN Signs ... obstruction) • Lack of signs ... #hepatology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Diagnosis Baseline ... clinical context and signs ... Abdominal compartment syndrome ... • Cardio-renal syndrome ... #Diagnosis #nephrology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
vs Tumor Lysis Syndrome ... WBC >100k, + lab signs ... , Elevated Cr, Low ... #TLS #diagnosis ... #management #hematology
Lymphocutaneous Sporotrichiosis Infection Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis? Lymphocutaneous
Landscaper w/ painless nodular ... wax and wane; diagnosis ... painless, no systemic signs ... biopsy preferred Differential ... staph aureus, cow
Inflammatory Myopathies Dermatomyositis • Onset: Subacute • Pattern: Proximal • CK: Up to 50X ULN • Autoantibodies:
heliotrope, shawl sign ... Onset: Insidious/slow ... Inflammatory #Myopathies #differential ... #diagnosis #comparison ... #rheumatology #
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
commonly intermediate-low ... mass and NO prior signs ... Differential diagnosis ... Tendon Sheath - Nodular ... #msk #rheumatology
Hemophagocytic Lymphohistiocytosis (HLH) Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
Overwhelming clinical syndrome ... : HLH signs and ... Diagnosis via genetic ... Splenomegaly • Low ... management #treatment #hematology
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