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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Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
Orbicularis Reflex ... time, and can cause ... delusions and, in some cases ... the orbicular reflex ... #PhysicalExam #
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Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Causes of Hyporeflexia ... Deep coma (any cause ... Hyperreflexia #Testing #Causes ... differential #diagnosis #table
Normal (Negative) Babinski / Plantar Reflex

The plantar reflex is a reflex elicited when the sole of
Babinski / Plantar Reflex ... The plantar reflex ... is a reflex elicited ... causes a downward ... #Video #Signs #PhysicalExam
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The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
β€’ Corneal reflex ... β€’ Gag reflex ... β€’ Cough reflex ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Vagus Nerve Schwannoma eliciting paroxysmal cough when palpated

The cough reflex is caused by stimulation of vagal
palpated The cough reflex ... is caused by stimulation ... neckmass #cough #physicalexam ... video #neurology #reflex
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Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... β†’ Refer to Nephrology ... cystoscopy β€’ Refer ... Nephrology if cause ... Hematuria #Diagnosis #Algorithm
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Classification Reflex ... bradycardia β€’ Sinus pauses ... Classification #Table ... #Causes
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... the patient to relax ... Hoffmanns #Sign #Reflex ... video #neurology #PhysicalExam
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Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
abolished tendon reflexes ... percussion by the reflex ... hammer, caused ... Hypothyroidism #PhysicalExam
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Brudzinski's Sign in Meningitis

Severe neck stiffness causes the patient's knees and hips to flex when the
neck stiffness causes ... knees and hips to flex ... clinical #video #physicalexam
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