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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Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
is a clinical syndrome ... hormones, with varied clinical ... reflex hammer, caused ... #video #neurology ... #endocrinology
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Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
Polycystic Ovarian Syndrome ... β€’ Cushing's Syndrome ... Medical/Other β€’ Hypothyroidism ... Diagnosis #Algorithm #endocrinology ... #causes
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
thyroid goiters caused ... iodine #deficiency #endocrinology ... #clinical #video ... #neck #hypothyroidism
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Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
, Uremia/ESRD, Hypothyroidism ... Paraprotein-associated (POEMS syndrome ... differential #diagnosis #causes ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... experience, the cause ... #clinical #video ... #physicalexam #neurology
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Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Exophthalmos (Alternating ... The syndrome of ... The cause of this ... #Enophthalmos #Alternating ... #Bilateral #clinical
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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 ... or low Uosm), Hypothyroidism ... Cirrhosis, Nephrotic syndrome ... table #sodium #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... patient presented to clinic ... fasciculus), which causes ... The most common causes ... ophthalmology #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 ... Ophthalmicus #HZO #clinical ... #physicalexam #neurology
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Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
antimicrobials, clinical ... but important causes ... factors: - Serology ... antiphospholipid syndrome