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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Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... Clinical confirmation ... rare bilateral cases ... #clinical #video ... #physicalexam #neurology
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Causes of upper gastrointestinal bleeding - An Illustrated Differential Diagnosis

#Diagnosis #Differential #UpperGI #Bleeding #Diagram #Causes

** GrepMed
Causes of upper ... gastrointestinal bleeding - An ... Diagnosis #Diagnosis ... Bleeding #Diagram #Causes ... Kumar and Clark's Clinical
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
BPM INFECTIOUS CAUSES ... • Fever OTHER CAUSES ... • Drug Fever CLINICAL ... #Dissociation #diagnosis ... causes
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
demonstrated the classic ... consistent with a diagnosis ... , the cause is more ... Horners #Syndrome #clinical ... #Anisocoria
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Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Generalized Weakness - Differential ... Diagnosis Framework ... Rhabdomyolysis, Critical ... #Diagnosis #causes ... #neurology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... suggests extra-renal causes ... #Hypokalemia #diagnosis ... #Algorithm #differential ... #potassium #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Diagnosis: Causes ... starvation, diabetic) Causes ... Acetazolamide Causes ... Mineralocorticoid excess Causes ... - Salicylates Causes
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
• Inflammatory/AI ... Peripheral #Neuropathy #differential ... #diagnosis #causes ... #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
patient presented to clinic ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
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Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... restriction alone in ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology