Gerardo Hernandez @DrGerardoHernandez
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Interests: teaching, Community Medicine, underserved communities, mentorship
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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
" on lateral x-ray ... " on lateral x-ray ... onto outstretched hand ... dorsum of the hand ... Carpal #Radiology #XRay
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Exam: Swollen and ... Finger #Radiology #XRay ... Diagnosis #Management #Hand
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... carpal instability and ... onto outstretched hand ... Carpal #Radiology #XRay
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... , scapholunate and ... procedural sedation and ... Distal #Radiology #XRay
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
fractures of the 4th and ... metacarpal neck(s) and ... Exam: Swelling and ... Metacarpal #Radiology #XRay ... Diagnosis #Management #Hand
Blue nevus 
 - Dark blue-gray macule or papule 
 - Well-circumscribed 
 - Melanin localized
- Dark blue-gray ... Common on nose and
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
procedural sedation and ... Splint: Sling-and-swath ... Anterior #Radiology #XRay
The principles of insulin adjustment guidance - Schematic diagram of insulin onset and time action profiles
insulin onset and ... profiles - Onset and
Diabetes Morning Hyperglycemia - Dawn Phenomenon vs Somogyi Effect 

When patients FBG's are elevated each morning
growth hormones and ... pancreas can adjust and ... Although rare and ... the late nights, and ... effect, I have had
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
Inhibitors - Normal and ... response to food and ... post-prandial glucose and ... highest dose, and ... the lowest dose and