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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18 results
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... experience, the cause ... ophthalmology #physicalexam ... #neurology #Anisocoria
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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 ... than 3mm in this case ... rare bilateral cases ... ophthalmology #physicalexam ... #neurology
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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 Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... Comparison #Algorithm #Nephrology ... #Diagnosis
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
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 β€’ Polycystic Ovarian Syndrome
 β€’ Hyperthecosis
 β€’ Tumor
Adrenal
- Differential Diagnosis ... β€’ Cushing's Syndrome ... #Differential #Diagnosis ... #Algorithm #endocrinology ... #causes
Kernig's Sign in Meningitis

Resistance or pain elicited by passive extension of the knees, thought to be
Resistance or pain ... thought to be caused ... clinical #video #physicalexam ... #neurology
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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 ... drowsiness, weight gain ... reflex hammer, caused ... Hypothyroidism #PhysicalExam ... #endocrinology
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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 ... proteinuria, granular casts ... #Algorithm #nephrology ... #diagnosis
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 ... , Gitelman syndrome ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
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