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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20 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... the exception of anisocoria ... Clinical confirmation ... #clinical #video ... #physicalexam #neurology
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Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... SAME, Cushing Syndrome ... , Gitelman syndrom ... #Hypokalemia #Differential ... potassium #low #nephrology
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 ... #clinical #video ... #physicalexam #neurology ... #Anisocoria
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Belly Dancer's Syndrome (Belly Dancer's Dyskinesia)

#Belly #Dancers #Syndrome #Dyskinesia #clinical #video #neurology #physicalexam
Belly Dancer's Syndrome ... Belly #Dancers #Syndrome ... #Dyskinesia #clinical ... #video #neurology
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Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... disease, Milk Alkali Syndrome ... disease, Viral Syndromes ... Hypercalcemia #Differential ... Algorithm #Workup #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Tumor genesis syndrome ... FGF-23: Fanconi syndrome ... Hypophosphatemia #Differential ... Workup #phosphate #nephrology
Marcus-Gunn Jaw-Winking syndrome from congenital neurosyphilis

Sucking elicits blinking.  Once you see it you won't forget.

Dr.
Marcus-Gunn Jaw-Winking syndrome ... #Jaw #Winking #syndrome ... neurosyphilis #clinical ... #video #neurology
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Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Paraprotein-associated (POEMS syndrome ... Peripheral #Neuropathy #differential ... diagnosis #causes #neurology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
↓ Aldosterone: Syndrome ... excess, Liddle's syndrome ... , Gitelman syndrome ... diagnosis #Algorithm #differential ... #potassium #nephrology
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... #LockedIn #Syndrome ... #PhysicalExam #clinical ... #video #neurology
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