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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9 results
Kernig's Sign in Meningitis

Resistance or pain elicited by passive extension of the knees, thought to be
Kernig's Sign in ... Resistance or pain ... thought to be caused ... #Kernigs #Sign # ... #physicalexam #neurology
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Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Serotonin Syndrome β€’ Ophthalmologic ... bowel sounds, RUQ pain ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
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
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
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 β€’ Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... Fevers β€’ Eye pain ... #Differential #Diagnosis ... Unilateral #Bilateral #Causes ... #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... surgery; as in our case ... clinical #video #ophthalmology ... #physicalexam #neurology
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Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... : Causes of High ... Hyperventilation (Anxiety, pain ... Interpretation #Diagnosis ... #Summary #Nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... clinical #video #ophthalmology ... #neurology
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... GI - glossitis (pain ... of tongue), abd pain ... consider other diagnosis ... #management #nutrition