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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Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
by significant pain ... , pain with eye ... -Management of scleritis ... involves ophthalmology ... #Diagnosis #Ophthalmology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... achromatopsia, & formal ophthalmology ... Cooper Neurology ... clinical #video #neurology ... #ophthalmology
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Abnormal Doll's Eye (Oculocephalic) Reflex on Physical Examination

Normally, a patient's eyes should move in the opposite
Dr Prasad Jain @ ... clinical #video #neurology ... #ophthalmology
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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 ... associated with AIN ... Interstitial #Nephritis #AIN ... #Algorithm #nephrology ... #diagnosis
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 β€’ Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... Fevers β€’ Eye pain ... #Differential #Diagnosis ... Bilateral #Causes #ophthalmology
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Serotonin Syndrome β€’ Ophthalmologic ... bowel sounds, RUQ pain ... spectrum #signs #diagnosis
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
Main types of autoimmune ... comparison #table #neurology ... #diagnosis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 β€’ Rest angina attributed to coronary artery vasospasm.
 β€’ Patients often
anginal chest pain ... tolerance β€’ Pain ... troponin elevation Diagnosis ... Angina #cardiology #diagnosis ... #management
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... clinical #video #ophthalmology ... #physicalexam #neurology
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Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
retrosternal chest pain ... Diagnosis: - EGD ... retrosternal or back pain ... Esophageal #Necrosis #diagnosis ... #management #gastroenterology