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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24 results
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... Characterized by low ... near arm tremor caused ... clinical #video #neurology ... #copper #physicalexam
β–Ί
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... Characterized by low ... near arm tremor caused ... clinical #video #neurology ... #copper #physicalexam
β–Ί
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
result is positive (abnormal ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses: β€’ Normal ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 β€’ High Al, Low R - Primary aldosteronism
 β€’ High Al, High
Differential Diagnosis Algorithm ... Hyperplasia β€’ Normal ... Al, Normal R - ... Differential #Diagnosis #Algorithm ... #nephrology #causes
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
unilateral; β€’ Slow ... Ill Palsy - abnormal ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... insufficiency β€’ Low ... or normal baseline
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
renal function is normal ... Hypomagnesemia #algorithm ... differential #diagnosis #causes ... #nephrology #magnesium ... #low
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... consumption β€’ Low ... /Normal Blood Pressure ... differential #potassium #nephrology ... #low
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
OR NON-WEIGHT BEARING ... FLAGS - In all cases ... splenomegaly, abnormal ... neurology, back ... #Limping #NWB #Algorithm