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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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 from congenital ... NICU_Musings #Marcus ... neurosyphilis #clinical ... #video #neurology
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Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... β€’ Normal Acid-Base ... #Hypokalemia #Differential ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
Marcus-Gunn Jaw Winking Ptosis

Marcus Gunn Jaw Winking Ptosis is the most common form of congenital neurogenic
Marcus-Gunn Jaw ... Winking Ptosis Marcus ... Caused by connection ... Winking #Ptosis #clinical ... #video #neurology
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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Differentials? ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... bloodgas #Acid #Base
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Tumor genesis syndrome ... Denosumab, Estrogen based ... Hypophosphatemia #Differential ... Workup #phosphate #nephrology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... experience, the cause ... surgery; as in our case ... #clinical #video ... #physicalexam #neurology
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Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ 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
wasting from other causes ... suggests extra-renal causes ... , Gitelman syndrome ... diagnosis #Algorithm #differential ... #potassium #nephrology
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Platypnea-Orthodeoxia Syndrome ... Physical Exam The case ... platypnea-orthodeoxia syndrome ... #PhysicalExam #clinical ... #respiratory #pulmonary
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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 ... normal volume-based ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #differential ... table #sodium #nephrology