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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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... HeadImpulse #Testing #HIT
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
If present, it should ... wasting from other causes ... suggests extra-renal causes ... #diagnosis #Algorithm ... differential #potassium #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
β€’ Infectious: HIV ... #differential #diagnosis ... #causes #neurology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... It can be easier ... Present (Uosm β‰₯100): Hypovolemia ... #differential #diagnosis ... table #sodium #nephrology
Nikolsky's Sign in Toxic Epidermal Necrolysis (TEN)

Nikolsky's sign is a clinical dermatological sign which is present
skin syndrome, caused ... It is also associated ... It is useful in ... differentiating between the diagnosis ... #Dermatology #PhysicalExam
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Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... surgery; as in our case ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
It usually happens ... sleeping as in this case ... #Nerve #Palsy #PhysicalExam ... #msk #sports #neurology
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
It results from ... fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam
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Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
shingles around his ... was treated by his ... other potential causes ... ophthalmology #physicalexam ... #neurology
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