Dr. Gerald Diaz @GeraldMD
48.7M 14.2K 7.5K
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
vs Bilateral Unilateral ... 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 ... The most common cause ... #Management #Lateral ... Retrobulbar #Hemorrhage #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 ... #ophthalmology
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Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Clinical confirmation ... occasionally it can occur bilaterally ... in those rare bilateral ... Pupil #anisocoria #clinical ... #video #ophthalmology
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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 ... 31 β€’ First US case ... β€’ CXR: hazy bilateral ... *rarely may be unilateral ... Cheatsheet #Diagnosis #Management
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... The most common causes ... started on IV steroids ... Three weeks later ... #video #ophthalmology
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... intrinsic factor, IF) Clinical ... degeneration of dorsal 8 lateral ... Deficiency #diagnosis #management