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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18 results
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... Bilateral Unilateral ... #Differential #Diagnosis ... #Unilateral #Bilateral ... #Causes #ophthalmology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... , Gitelman syndrom ... #Differential #Diagnosis ... #Algorithm #causes
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
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Patient underwent a diagnostic ... this patient- bilateral ... The syndrome of ... clinical #video #ophthalmology ... #physicalexam #
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Lateral Canthotomy / Cantholysis - Procedure Instructions

The orbit is a relatively closed compartment and an acute
Lateral Canthotomy ... The most common cause ... #Management #Lateral ... Retrobulbar #Hemorrhage #Ophthalmology
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
- Differential Diagnosis ... Algorithm ADRENAL ... #Differential #Diagnosis ... #Algorithm #endocrinology ... #causes
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 ... clinical #video #ophthalmology ... #physicalexam #
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Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... #Hypokalemia #diagnosis ... #Algorithm #differential
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Weiss, Boerhaave syndrome ... #differential #diagnosis ... #Causes #algorithm
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
occasionally it can occur bilaterally ... in those rare bilateral ... cases. ... clinical #video #ophthalmology ... #physicalexam #
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