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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12 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... rare bilateral cases ... ophthalmology #physicalexam ... #neurology
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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... of AVS and negative ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... conditions such as ... experience, the cause ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic ... hematuria (RBC casts ... Comparison #Algorithm #Nephrology ... #Diagnosis
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
- Differential Diagnosis ... Polyneuropathy, ALS ... #Differential #Diagnosis ... #causes #neurology
Hypokalemia Evaluation Algorithm

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

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Compensation, Acute vs ... - Differential Diagnosis ... : Causes of High ... Interpretation #Diagnosis ... #Summary #Nephrology
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
happens sleeping as ... in this case, due ... #Nerve #Palsy #PhysicalExam ... #msk #sports #neurology
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Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
can occur, such as ... reflex hammer, caused ... Hypothyroidism #PhysicalExam ... clinical #video #neurology
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
presentation is known as ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam
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