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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16 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... hematuria (RBC casts ... dysmorphic RBCs in ... Comparison #Algorithm #Nephrology ... #Diagnosis
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... tumors along the apex ... , the cause is more ... clinical #video #ophthalmology ... #physicalexam #neurology
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Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... other potential causes ... Orbital Apex Syndrome ... clinical #video #ophthalmology ... #physicalexam #neurology
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Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... , Gitelman syndrom ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... achromatopsia, & formal ophthalmology ... Cooper Neurology ... clinical #video #neurology ... #ophthalmology
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Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
β€’ Inflammatory/AI ... Paraprotein-associated (POEMS syndrome ... #differential #diagnosis ... #causes #neurology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
The next step in ... wasting from other causes ... suggests extra-renal causes ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
When to suspect AIN ... sterile pyuria, WBC casts ... associated with AIN ... #Algorithm #nephrology ... #diagnosis
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... validated only in ... #Diagnosis #PhysicalExam ... #Neurology #AVS
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... clinical #video #ophthalmology ... #neurology
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