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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Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 β€’ Infections (can become bilateral with cavernous sinus
Infections (can become bilateral ... Sarcoid (can be bilateral ... histocytosis Bilateral ... #Bilateral #Causes ... #ophthalmology
Lateral Canthotomy / Cantholysis - Procedure Instructions

The orbit is a relatively closed compartment and an acute
Lateral Canthotomy ... #Management #Lateral ... Retrobulbar #Hemorrhage #Ophthalmology
Acute Monocular Vision Loss - Differential Diagnosis Framework
 β€’ Cornea: Keratitis
 β€’ Anterior Chamber: Hyphema, Acute
Vision Loss - Differential ... visual loss will be bilateral ... #Vision #Loss #Differential ... #Diagnosis #ophthalmology
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
Intermittent Bilateral ... this patient- bilateral ... Differentials for ... #Alternating #Bilateral ... clinical #video #ophthalmology
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Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
both eyes to find bilateral ... globe #rupture #ophthalmology
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Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
-Management of scleritis ... involves ophthalmology ... consultation and steroids ... #Diagnosis #Ophthalmology
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
investigational therapies; steroids ... β€’ CXR: hazy bilateral ... *rarely may be unilateral ... Cheatsheet #Diagnosis #Management
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
It is generally unilateral ... occasionally it can occur bilaterally ... in those rare bilateral ... clinical #video #ophthalmology
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One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
started on IV steroids ... Three weeks later ... clinical #video #ophthalmology
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
degeneration of dorsal 8 lateral ... Deficiency #diagnosis #management